Organization
PINEYWOODS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD EVANS SCOTT PT, DPT (OWNER)
(936) 645-3348
Entity
Organization
Contact information
Practice address
1400 WEST 6TH STREET, SUITE 6 AND 7, RUSK, TX 75785
(936) 645-3348
Mailing address
PO BOX 979, RUSK, TX 75785-0979
(936) 645-3348
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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