Provider Demographics
NPI:1023606514
Name:FRANKLIN, REESE (PT, DPT)
Entity type:Individual
Prefix:
First Name:REESE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5313 SERENE HILLS DR APT 1903
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78738-0044
Mailing Address - Country:US
Mailing Address - Phone:713-305-2428
Mailing Address - Fax:
Practice Address - Street 1:5313 SERENE HILLS DR APT 1903
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-0044
Practice Address - Country:US
Practice Address - Phone:713-305-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-09
Last Update Date:2021-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1274185225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist