Provider Demographics
NPI:1689811580
Name:WEEK, KELLY THOMAS (PT, MS)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:THOMAS
Last Name:WEEK
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
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Mailing Address - Street 1:4747 RESEARCH FOREST DRIVE STE 180 #115
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381
Mailing Address - Country:US
Mailing Address - Phone:713-444-7270
Mailing Address - Fax:866-453-6904
Practice Address - Street 1:6 ROBIN SPRINGS PL
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-3108
Practice Address - Country:US
Practice Address - Phone:713-444-7270
Practice Address - Fax:713-444-7270
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1182250225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist