Provider Demographics
NPI:1487830428
Name:WRIGHT, JOHN F (PT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:F
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5207 HOLLYTREE DR
Mailing Address - Street 2:APT. 622
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3492
Mailing Address - Country:US
Mailing Address - Phone:903-939-8893
Mailing Address - Fax:903-939-2336
Practice Address - Street 1:5207 HOLLYTREE DR
Practice Address - Street 2:APT. 622
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3492
Practice Address - Country:US
Practice Address - Phone:903-939-8893
Practice Address - Fax:903-939-2336
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1057867225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist