Provider Demographics
NPI:1083653810
Name:WARD, RHONDA F (LPT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:F
Last Name:WARD
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 BROWN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1421
Mailing Address - Country:US
Mailing Address - Phone:972-938-3476
Mailing Address - Fax:972-938-3478
Practice Address - Street 1:1324 BROWN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1421
Practice Address - Country:US
Practice Address - Phone:972-938-3476
Practice Address - Fax:972-938-3478
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1129443225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D3012Medicare ID - Type Unspecified
TXP00243749Medicare ID - Type UnspecifiedMEDICARE RAILROAD