Provider Demographics
NPI:1700031309
Name:RANNEY, BRIAN SCOTT (PT)
Entity Type:Individual
Prefix:PROF
First Name:BRIAN
Middle Name:SCOTT
Last Name:RANNEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1853 PEARLAND PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5296
Mailing Address - Country:US
Mailing Address - Phone:281-412-7707
Mailing Address - Fax:281-412-7708
Practice Address - Street 1:1853 PEARLAND PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5296
Practice Address - Country:US
Practice Address - Phone:281-412-7707
Practice Address - Fax:281-412-7708
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1131852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist