Provider Demographics
NPI:1245499862
Name:JOHNS, RAY DUMLAO (PT, MSHSA, DPT)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:DUMLAO
Last Name:JOHNS
Suffix:
Gender:F
Credentials:PT, MSHSA, DPT
Other - Prefix:
Other - First Name:RAY
Other - Middle Name:MANGROBANG
Other - Last Name:DUMLAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:531 W COURT ST # 1689
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5443
Mailing Address - Country:US
Mailing Address - Phone:512-618-5180
Mailing Address - Fax:
Practice Address - Street 1:4600 E HWY 158 #427
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:TX
Practice Address - Zip Code:79758
Practice Address - Country:US
Practice Address - Phone:126-185-1805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1065308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist