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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