Provider Demographics
NPI:1568758068
Name:LAURETTA, ANTHONY WILLIAM (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:WILLIAM
Last Name:LAURETTA
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Gender:M
Credentials:DPT
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Mailing Address - Street 1:12508 JONES MALTSBERGER RD
Mailing Address - Street 2:STE 110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4215
Mailing Address - Country:US
Mailing Address - Phone:210-590-4000
Mailing Address - Fax:512-918-0045
Practice Address - Street 1:1103 CYPRESS CREEK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3924
Practice Address - Country:US
Practice Address - Phone:512-918-0044
Practice Address - Fax:512-918-0045
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2019-10-30
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Provider Licenses
StateLicense IDTaxonomies
TX1206622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist