Provider Demographics
NPI:1922146604
Name:PAINTER, FRANKLIN RAY (PHYSICAL THERAPIST A)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:RAY
Last Name:PAINTER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 RIDGE TRAIL ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1308
Mailing Address - Country:US
Mailing Address - Phone:121-045-5418
Mailing Address - Fax:
Practice Address - Street 1:7703 BRIARIDGE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4803
Practice Address - Country:US
Practice Address - Phone:121-034-1612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20062502251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics