IndividualActive
Dara Wise, CTRS
NPI 1467066035 · Recreation Therapist · Austin, TX
Provider details
- NPI number
- 1467066035
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
- License
- 68853 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5900 Balcones Dr
Austin, TX 78731-4257
Phone: (737) 202-9403
Approximate (ZIP-level) locationGet directions
Mailing address
5900 Balcones Dr
Austin, TX 78731-4257
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.