Provider Demographics
NPI:1174148183
Name:ALPHA PHYSICAL THERAPY AND WELLNESS,LLC
Entity type:Organization
Organization Name:ALPHA PHYSICAL THERAPY AND WELLNESS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAVITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARASUMANNA JANARTHANAA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:832-941-8667
Mailing Address - Street 1:16806 LESSELS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2258
Mailing Address - Country:US
Mailing Address - Phone:832-941-8667
Mailing Address - Fax:832-575-1400
Practice Address - Street 1:16806 LESSELS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2258
Practice Address - Country:US
Practice Address - Phone:832-941-8667
Practice Address - Fax:832-575-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty