Doctor Name: | MR. BRANT R DAVIS |
NPI Number: | 1578646253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1105963 |
Business Practice Address: | 966 N Garden Ridge Suite 530 Lewisville, TX - 75077 |
Business Phone Number: | 9724206605 |
Business Fax Number: | 9724362770 |
Mailing Address: | 966 N Garden Ridge Blvd, Suite 530 LEWISVILLE |
State: | TX |
Postal Code: | 750772827 |
Phone Number: | 9724206605 |
Fax Number: | 9724362770 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1105963 |
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 |