Provider Demographics
NPI:1164697397
Name:SOLEY-THOMPSON, JOANNE KAY (PT)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:KAY
Last Name:SOLEY-THOMPSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 65
Mailing Address - Street 2:BOX 39A
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830
Mailing Address - Country:US
Mailing Address - Phone:432-386-5521
Mailing Address - Fax:
Practice Address - Street 1:HC 65 BOX 39A
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-9616
Practice Address - Country:US
Practice Address - Phone:432-386-5521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1158660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist