Organization · NPI-2
Has Healthcare
Physical Therapist, Sports · Houston, TX
NPI number1609188507
StatusActive
Last updated in NPPESJul 8, 2010
Details
- NPI
- 1609188507
- Entity type
- Organization (NPI-2)
- Legal business name
- Has Healthcare
- Organization subpart
- No
- Enumeration date
- Jul 8, 2010
- Last updated
- Jul 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | – | – | Yes |
| 172A00000X | Driver | – | – | |
| 225800000X | Recreation Therapist | – | – | |
| 225A00000X | Music Therapist | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2405 Arbor StHouston, TX 77004-6028
Phone 713-569-3311
Mailing address
2405 Arbor StHouston, TX 77004-6028
Phone 713-569-3311
Authorized official
Jeffrey Walker Mitchell
Business Manager
7135693311
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