Provider Demographics
NPI:1790090595
Name:AKHIGBE, BRIGHT (PT, DPT, DC)
Entity Type:Individual
Prefix:DR
First Name:BRIGHT
Middle Name:
Last Name:AKHIGBE
Suffix:
Gender:M
Credentials:PT, DPT, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8360 LBJ FWY STE 220
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1129
Mailing Address - Country:US
Mailing Address - Phone:214-570-8618
Mailing Address - Fax:214-570-9643
Practice Address - Street 1:8360 LBJ FWY STE 220
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1129
Practice Address - Country:US
Practice Address - Phone:214-570-8618
Practice Address - Fax:214-570-9643
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11187111N00000X
TX1191980225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor