Provider Demographics
NPI:1598940272
Name:THORNE, TRISHA ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:ANN
Last Name:THORNE
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 1:7155 ATASCOCITA RD
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5014
Mailing Address - Country:US
Mailing Address - Phone:281-812-8304
Mailing Address - Fax:281-812-8306
Practice Address - Street 1:7155 ATASCOCITA RD
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-5014
Practice Address - Country:US
Practice Address - Phone:281-812-8304
Practice Address - Fax:281-812-8306
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1178136225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist