Organization Name: | LIGHTSEY PHYSICAL THERAPY |
NPI Number: | 1255790226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA J LIGHTSEY (PHYSICAL THERAPIST/OWNER) |
Mailing Address: | 3806 Park Hampton Dr Bryan |
State: | TX US |
Postal Code: | 778025872 |
Phone Number: | 9792559409 |
Fax Number: | 9794310103 |
NPI Enumeration Date: | 02/18/2016 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1145365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |