| Tolar Sports Therapy | |
|
1140 Fm 1189 Ste 115, Millsap, TX 76066-3540 | |
| (254) 485-1482 | |
| Not Available |
| Full Name | Tolar Sports Therapy |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 1140 Fm 1189 Ste 115, Millsap, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376204735 | NPI | - | NPPES |
| 01 | Other | 01 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Dennis Connelly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548346182 PECOS PAC ID: 6103735147 Enrollment ID: I20200630000571 |
| Provider Name | Jeanine Blanks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972157360 PECOS PAC ID: 1557784089 Enrollment ID: I20200630003468 |
| Provider Name | Karma Rena Loftin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083358493 PECOS PAC ID: 2567847833 Enrollment ID: I20220922002253 |
| Provider Name | Melissa Ryan Collier |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831840578 PECOS PAC ID: 6709261076 Enrollment ID: I20220922002470 |
| Mailing Address | Practice Location Address |
|---|---|
| Tolar Sports Therapy 582 S Sugartree Dr, Lipan, TX 76462-4341 Ph: (254) 485-1482 | Tolar Sports Therapy 1140 Fm 1189 Ste 115, Millsap, TX 76066-3540 Ph: (254) 485-1482 |