Provider Demographics
NPI:1073124699
Name:STRICKLAND, TRISTIN SHI'ANNE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:TRISTIN
Middle Name:SHI'ANNE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8913 FM 197
Mailing Address - Street 2:
Mailing Address - City:ARTHUR CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75411
Mailing Address - Country:US
Mailing Address - Phone:903-732-0929
Mailing Address - Fax:
Practice Address - Street 1:4005 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75462-5212
Practice Address - Country:US
Practice Address - Phone:903-785-3861
Practice Address - Fax:903-784-6020
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3125448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist