Provider Demographics
NPI:1659317014
Name:HAUSKNECHT, SILVIA BEATRIZ (ATC)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:BEATRIZ
Last Name:HAUSKNECHT
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 DANIEL MCCALL DR
Mailing Address - Street 2:APT 227
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-7149
Mailing Address - Country:US
Mailing Address - Phone:936-635-2093
Mailing Address - Fax:936-630-4413
Practice Address - Street 1:2807 DANIEL MCCALL DR
Practice Address - Street 2:APT 227
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-7149
Practice Address - Country:US
Practice Address - Phone:936-635-2093
Practice Address - Fax:936-630-4413
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT26992255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer