Provider Demographics
NPI:1811228372
Name:ALFTON, KIIRI (PTA)
Entity Type:Individual
Prefix:
First Name:KIIRI
Middle Name:
Last Name:ALFTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17448 HIGHWAY 3
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4197
Mailing Address - Country:US
Mailing Address - Phone:281-316-7160
Mailing Address - Fax:281-316-7165
Practice Address - Street 1:17448 HIGHWAY 3
Practice Address - Street 2:SUITE 130
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4197
Practice Address - Country:US
Practice Address - Phone:281-316-7160
Practice Address - Fax:281-316-7165
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2052619225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant