Provider Demographics
NPI:1396194742
Name:FRANCIS, BLESSY LUKA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:BLESSY
Middle Name:LUKA
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:BLESSY
Other - Middle Name:THOMAS
Other - Last Name:LUKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 PARKWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-8402
Mailing Address - Country:US
Mailing Address - Phone:469-713-7997
Mailing Address - Fax:
Practice Address - Street 1:1200 PARKWOOD TRL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-8402
Practice Address - Country:US
Practice Address - Phone:469-713-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1274171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist