Provider Demographics
NPI:1558605527
Name:BALL, ARIELLE DANAE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ARIELLE
Middle Name:DANAE
Last Name:BALL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2839 KINGS RETREAT CIR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-5603
Mailing Address - Country:US
Mailing Address - Phone:770-549-5850
Mailing Address - Fax:
Practice Address - Street 1:2839 KINGS RETREAT CIR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345-5603
Practice Address - Country:US
Practice Address - Phone:770-549-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1303583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist