Provider Demographics
NPI:1093823403
Name:SHARMA, NEENA K (PT, PHD)
Entity Type:Individual
Prefix:
First Name:NEENA
Middle Name:K
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9418
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-9418
Mailing Address - Country:US
Mailing Address - Phone:866-249-9736
Mailing Address - Fax:
Practice Address - Street 1:3901 RAINBOW BLVD MSC 4043
Practice Address - Street 2:2032 SCHOOL OF NURSING
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:866-249-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1102894225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist