Provider Demographics
NPI:1437107760
Name:POINDEXTER, TERESA M (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:M
Last Name:POINDEXTER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2913 WILLIAMS DR STE 210
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2739
Mailing Address - Country:US
Mailing Address - Phone:512-887-4544
Mailing Address - Fax:512-887-4542
Practice Address - Street 1:2913 WILLIAMS DR STE 210
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2739
Practice Address - Country:US
Practice Address - Phone:512-887-4544
Practice Address - Fax:512-887-4542
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3940225100000X
TX1220578225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist