Provider Demographics
NPI:1598066482
Name:HAPPE, DAWN ELISE (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELISE
Last Name:HAPPE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20111 BAYBERRY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-4987
Mailing Address - Country:US
Mailing Address - Phone:281-252-6879
Mailing Address - Fax:
Practice Address - Street 1:18230 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-4528
Practice Address - Country:US
Practice Address - Phone:281-766-1430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1044089225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist