Provider Demographics
NPI:1003936287
Name:RAC, ANNA K (PT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:K
Last Name:RAC
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9180 OLD KATY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-7454
Mailing Address - Country:US
Mailing Address - Phone:713-984-1400
Mailing Address - Fax:713-984-0544
Practice Address - Street 1:9180 OLD KATY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-7454
Practice Address - Country:US
Practice Address - Phone:713-984-1400
Practice Address - Fax:713-984-0544
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist