FUNCTIONAL RD, LLC

SAN ANTONIO, TX
NPI1932627312
Entity TypeOrganization
Authorized ContactAIMEE ELIZABETH SENIOR
Registered Dietitian
210-920-0669
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT83404)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-09-06
Last Update Date2026-01-20
Business Address
FUNCTIONAL RD, LLC
11107 WURZBACH RD
SAN ANTONIO, TX 78230-2500
Phone number: 210-920-0669
Mailing Address
FUNCTIONAL RD, LLC
14439 NW MILITARY HWY STE 108
SHAVANO PARK, TX 78231-1648
Phone number: 210-920-0669