Provider Demographics
NPI:1861682502
Name:BACHMAN, TERESA RICHELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:RICHELLE
Last Name:BACHMAN
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 1:210 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:MARTINDALE
Mailing Address - State:TX
Mailing Address - Zip Code:78655-3827
Mailing Address - Country:US
Mailing Address - Phone:512-357-6712
Mailing Address - Fax:
Practice Address - Street 1:1847 HIGHWAY 46 W STE D
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4740
Practice Address - Country:US
Practice Address - Phone:830-626-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1157548225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist