Provider Demographics
NPI:1851456412
Name:SONNIER, STEPHEN P (PT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:P
Last Name:SONNIER
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 1:20722 WATER POINT TRL
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1328
Mailing Address - Country:US
Mailing Address - Phone:713-447-3776
Mailing Address - Fax:281-852-6079
Practice Address - Street 1:20722 WATER POINT TRL
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77346-1328
Practice Address - Country:US
Practice Address - Phone:713-447-3776
Practice Address - Fax:281-852-6079
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT60042251E1200X
MSPT35632251E1200X
HIPT-2802225100000X
TX11784212251E1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4077560OtherBLUE CROSS BLUE SHIELD
TN3659159Medicare ID - Type UnspecifiedPROVIDER NUMBER