Provider Demographics
NPI:1902544422
Name:OORDT THERAPEUTIC SERVICES, INC
Entity Type:Organization
Organization Name:OORDT THERAPEUTIC SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:OORDT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:210-954-6806
Mailing Address - Street 1:204 SHADY OAKS DR
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-7704
Mailing Address - Country:US
Mailing Address - Phone:210-954-6806
Mailing Address - Fax:726-201-4335
Practice Address - Street 1:14439 NW MILITARY HWY UNIT M107
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1646
Practice Address - Country:US
Practice Address - Phone:726-201-4290
Practice Address - Fax:726-201-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty