Provider Demographics
NPI:1659657963
Name:CAPRA, AINSLEY (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:AINSLEY
Middle Name:
Last Name:CAPRA
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10505 S IH 35
Mailing Address - Street 2:#728
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78747-2603
Mailing Address - Country:US
Mailing Address - Phone:405-312-2870
Mailing Address - Fax:
Practice Address - Street 1:10505 S IH 35
Practice Address - Street 2:#728
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78747-2603
Practice Address - Country:US
Practice Address - Phone:405-312-2870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT41222255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer