Provider Demographics
NPI:1043797251
Name:COUCH, KADI JAMES (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KADI
Middle Name:JAMES
Last Name:COUCH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:KADI
Other - Middle Name:RENE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5925 FOREST LN STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2785
Mailing Address - Country:US
Mailing Address - Phone:214-758-0038
Mailing Address - Fax:
Practice Address - Street 1:5925 FOREST LN STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2785
Practice Address - Country:US
Practice Address - Phone:214-758-0038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13092722251N0400X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology