Provider Demographics
NPI:1306442397
Name:ASARA THERAPY PLLC
Entity type:Organization
Organization Name:ASARA THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUMMADI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:312-420-1654
Mailing Address - Street 1:6537 PRESTON RD STE B
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2610
Mailing Address - Country:US
Mailing Address - Phone:312-420-1654
Mailing Address - Fax:972-810-0115
Practice Address - Street 1:6537 PRESTON RD STE B
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2610
Practice Address - Country:US
Practice Address - Phone:312-420-1654
Practice Address - Fax:972-810-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty