Provider Demographics
NPI:1144989054
Name:REACTION REHAB & SPORTS PERFORMANCE
Entity type:Organization
Organization Name:REACTION REHAB & SPORTS PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:CRISTEEN
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:956-346-0987
Mailing Address - Street 1:10422 HUEBNER RD APT 2010
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1389
Mailing Address - Country:US
Mailing Address - Phone:956-346-0987
Mailing Address - Fax:
Practice Address - Street 1:10422 HUEBNER RD APT 2010
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1389
Practice Address - Country:US
Practice Address - Phone:956-346-0987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty