Northwest Physical Therapy INC

NPI #1114507852 in Azle, Texas

Provider Information

NPI Number: 1114507852
Entity Type: Organization
Organization Name: Northwest Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 8, 2021
Last Updated: Jun 15, 2022

Practice Location

Address: 408 CENTRAL DR
City: Azle
State: Texas
ZIP Code: 76020-3140
Phone: (817) 444-8827

Authorized Official

Name: SHANE B WALL, PT
Title: OWNER
Phone: (254) 592-0418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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