Provider Demographics
NPI:1578346722
Name:SHAH, SHIKHA MANISH (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHIKHA
Middle Name:MANISH
Last Name:SHAH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17003 HUTTONS COURT LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2610
Mailing Address - Country:US
Mailing Address - Phone:832-640-0857
Mailing Address - Fax:
Practice Address - Street 1:10521 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4003
Practice Address - Country:US
Practice Address - Phone:281-277-7997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1381182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist