Provider Demographics
NPI:1609547280
Name:IYEH, NNAMDI ARTHUR (LPTA)
Entity Type:Individual
Prefix:MR
First Name:NNAMDI
Middle Name:ARTHUR
Last Name:IYEH
Suffix:
Gender:M
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8706 ARAPAHOE PASS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3385
Mailing Address - Country:US
Mailing Address - Phone:832-723-2141
Mailing Address - Fax:
Practice Address - Street 1:8706 ARAPAHOE PASS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3385
Practice Address - Country:US
Practice Address - Phone:832-723-2141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-23
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2073863225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant