Provider Demographics
NPI:1790421477
Name:ARCHER, AUDREY LINK (PT)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:LINK
Last Name:ARCHER
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 1:7011 MAGENTA LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78739-2084
Mailing Address - Country:US
Mailing Address - Phone:404-664-8833
Mailing Address - Fax:
Practice Address - Street 1:7011 MAGENTA LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78739-2084
Practice Address - Country:US
Practice Address - Phone:404-664-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11832702251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology