Organization
THERAPEDIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA KITCHENS PT (OWNER)
(817) 562-3111
Entity
Organization
Contact information
Practice address
1652 KELLER PKWY STE 100, KELLER, TX 76248-3876
(817) 562-3111
(817) 562-3114
Mailing address
1652 KELLER PKWY STE 100, KELLER, TX 76248-3876
(817) 562-3111
(817) 562-3114
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
652650000
TX
Other
Enumeration date
04/24/2007
Last updated
12/16/2022
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