El Paso Back In Action Therapy, LLC
Physical Therapist in El Paso, TX. Organization (NPI-2).
NPI number1194606293
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1194606293
- Entity type
- Organization (NPI-2)
- Legal business name
- El Paso Back In Action Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Sep 8, 2025
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
7451 Paseo Del NorteSuite B5
El Paso, TX 79911
Phone 575-430-8648
Mailing address
7451 Paseo Del Norte Ste B5El Paso, TX 79911-3158
Phone 915-243-1323
Authorized official
Derek Halladay
Managing Member
5754308648
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