Provider Demographics
NPI:1245343763
Name:CANO, NANCY LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LYNN
Last Name:CANO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N ALAMO RD
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-3008
Mailing Address - Country:US
Mailing Address - Phone:972-722-1212
Mailing Address - Fax:972-722-2995
Practice Address - Street 1:203 N ALAMO RD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-3008
Practice Address - Country:US
Practice Address - Phone:972-722-1212
Practice Address - Fax:972-722-2995
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T6599OtherBLUE CROSS BLUE SHIELD
TX8F3986Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE