East Texas Treatment Center
East Texas Treatment Center provides Physical Therapist services in Kilgore, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1200 Dudley RdKilgore, TX 75662-3306
Phone: (903) 984-5571
Fax: (903) 984-1913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) | Taxonomy 261QR0401X (TX) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 605680000 (TX) |
Record details
| NPI number | 1023002425 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Terry Hardan — Executive Director · (903) 984-5571 |
| NPI enumerated | August 31, 2005 |
| Last updated in NPPES | February 17, 2022 |
| Certification date | February 17, 2022 |
| Mailing address | 1200 Dudley Rd, Kilgore, TX 75662-3306 |
Other providers in Kilgore
-
Mrs. Cynthia Kulak, PT
1200 Dudley Rd, Kilgore, TX 75662-3306 · (903) 984-5571
-
Colleen S. Lagrone, MPT
144 Fm 1252 W, Kilgore, TX 75662-5093 · (903) 988-1630
-
Shelly Wade, PT
144 Fm 1252 W, Kilgore, TX 75662-5093 · (903) 984-5688
-
Mrs. Rachel Thunder Rose Wyatt, PT, DPT, CLT
1200 Dudley Rd, Kilgore, TX 75662 · (903) 753-6635