Provider Demographics
NPI:1881850451
Name:PARKER, MAISHA (LPT)
Entity Type:Individual
Prefix:MRS
First Name:MAISHA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 CREEK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7234
Mailing Address - Country:US
Mailing Address - Phone:214-682-1802
Mailing Address - Fax:
Practice Address - Street 1:5850 OHIO DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7096
Practice Address - Country:US
Practice Address - Phone:972-668-5257
Practice Address - Fax:972-668-5258
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141745225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1141745OtherPT LICENSE