Provider Demographics
NPI:1649213661
Name:NUNEZ, ALYSSA K (PT)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:K
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:ALY
Other - Middle Name:K
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:6473 RYEWORTH DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7466
Mailing Address - Country:US
Mailing Address - Phone:972-837-7837
Mailing Address - Fax:972-309-8787
Practice Address - Street 1:3550 PARKWOOD BLVD
Practice Address - Street 2:BLD A, SUITE 206
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1903
Practice Address - Country:US
Practice Address - Phone:972-712-7744
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1164318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist