Provider Demographics
NPI:1427739127
Name:LYMPHATIC HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:LYMPHATIC HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, COO, PT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:682-362-7070
Mailing Address - Street 1:6616 LOST STAR LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4332
Mailing Address - Country:US
Mailing Address - Phone:682-362-7070
Mailing Address - Fax:682-228-3984
Practice Address - Street 1:6616 LOST STAR LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4332
Practice Address - Country:US
Practice Address - Phone:682-362-7070
Practice Address - Fax:682-228-3984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty