Organization
PANHANDLE SPORTS MEDICINE INSTITUTE, PA
Active
Organization
PANHANDLE SPORTS MEDICINE INSTITUTE, PA
Active
Other names
Zach Thomas Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY JAY PT (DIRECTOR)
(806) 355-5244
Entity
Organization
Contact information
Practice address
6022 W 48TH AVE, AMARILLO, TX 79109-7504
(806) 355-5244
(806) 353-6151
Mailing address
6022 W 48TH AVE, AMARILLO, TX 79109-7504
(806) 355-5244
(806) 353-6151
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
652790000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0096KM
BCBSTX
TX
Enumeration date
08/08/2006
Last updated
07/10/2012
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