Provider Demographics
NPI:1689451619
Name:KARUPPIAH, VIDHYA (PT)
Entity Type:Individual
Prefix:
First Name:VIDHYA
Middle Name:
Last Name:KARUPPIAH
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 1:21831 MT HUNT DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-2623
Mailing Address - Country:US
Mailing Address - Phone:832-296-3002
Mailing Address - Fax:
Practice Address - Street 1:13500 BRETON RIDGE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5815
Practice Address - Country:US
Practice Address - Phone:281-807-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1327648225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist