Provider Demographics
NPI:1871626101
Name:ROCKY TOP INC
Entity type:Organization
Organization Name:ROCKY TOP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-379-5717
Mailing Address - Street 1:660 KELLER SMITHFIELD RD
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-4228
Mailing Address - Country:US
Mailing Address - Phone:817-379-5717
Mailing Address - Fax:817-431-6100
Practice Address - Street 1:660 KELLER SMITHFIELD RD
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-4228
Practice Address - Country:US
Practice Address - Phone:817-379-5717
Practice Address - Fax:817-431-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy