Provider Demographics
NPI:1942651302
Name:SIENKIEWICH, PAUL (DPT)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:SIENKIEWICH
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 1:2700 E ELDORADO PKWY
Mailing Address - Street 2:SUITE 409
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5999
Mailing Address - Country:US
Mailing Address - Phone:972-987-4023
Mailing Address - Fax:
Practice Address - Street 1:2700 E ELDORADO PKWY
Practice Address - Street 2:SUITE 409
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5999
Practice Address - Country:US
Practice Address - Phone:972-987-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3119656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist