Provider Demographics
NPI:1487247946
Name:RESONANT HEALTH INSTITUTE LLC
Entity type:Organization
Organization Name:RESONANT HEALTH INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:GRAYCE
Authorized Official - Last Name:TREADWAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-851-7070
Mailing Address - Street 1:4107 MEDICAL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78756-3736
Mailing Address - Country:US
Mailing Address - Phone:512-851-7070
Mailing Address - Fax:949-561-4547
Practice Address - Street 1:4107 MEDICAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78756-3736
Practice Address - Country:US
Practice Address - Phone:512-851-7070
Practice Address - Fax:949-561-4547
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESONANT HEALTH INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy