Agave Therapy, LLC

NPI #1992464523 in Alpine, Texas

Provider Information

NPI Number: 1992464523
Entity Type: Organization
Organization Name: Agave Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: AGAVE HOME HEALTH LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 10, 2021
Last Updated: Dec 10, 2021

Practice Location

Address: 610 E HOLLAND AVE
City: Alpine
State: Texas
ZIP Code: 79830-4830
Phone: (432) 837-5907

Authorized Official

Name: ANGELA JUETT, RN
Title: PRESIDENT AND SECRETARY
Phone: (432) 837-5907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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