Provider Demographics
NPI:1346805462
Name:LAUNCH PERFORMANCE AND PHYSICAL THERAPY
Entity type:Organization
Organization Name:LAUNCH PERFORMANCE AND PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:940-613-6606
Mailing Address - Street 1:2421 FAIN ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-1904
Mailing Address - Country:US
Mailing Address - Phone:940-613-6606
Mailing Address - Fax:
Practice Address - Street 1:2401 KEMP BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-5348
Practice Address - Country:US
Practice Address - Phone:940-613-6606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy