Provider Demographics
NPI:1922416130
Name:GARZA, JEREMY (DPT)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:GARZA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11101 BURNET RD
Mailing Address - Street 2:SUITE A-170
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-3479
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11101 BURNET RD
Practice Address - Street 2:SUITE A-170
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-3479
Practice Address - Country:US
Practice Address - Phone:512-835-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist