Provider Demographics
NPI:1386883247
Name:ALI BENNATT PHYSICAL THERAPY PC
Entity type:Organization
Organization Name:ALI BENNATT PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:NORTON
Authorized Official - Last Name:BENNATT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:512-474-5755
Mailing Address - Street 1:3160 BEE CAVES ROAD
Mailing Address - Street 2:STE. 300
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5527
Mailing Address - Country:US
Mailing Address - Phone:512-474-5755
Mailing Address - Fax:
Practice Address - Street 1:3160 BEE CAVES ROAD
Practice Address - Street 2:STE. 300
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5527
Practice Address - Country:US
Practice Address - Phone:512-474-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-16
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1101806261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy