Provider Demographics
NPI:1316681711
Name:LIBERTY HILL PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:LIBERTY HILL PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS
Authorized Official - Phone:512-789-7454
Mailing Address - Street 1:15050 W STATE HIGHWAY 29 STE 150
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2357
Mailing Address - Country:US
Mailing Address - Phone:512-789-7454
Mailing Address - Fax:
Practice Address - Street 1:15050 W STATE HIGHWAY 29 STE 150
Practice Address - Street 2:
Practice Address - City:LIBERTY HILL
Practice Address - State:TX
Practice Address - Zip Code:78642-2357
Practice Address - Country:US
Practice Address - Phone:512-789-7454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-22
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy