Provider Demographics
NPI:1255998837
Name:PARASUMANNA JANARTHANAA, KAVITHA (PT)
Entity type:Individual
Prefix:
First Name:KAVITHA
Middle Name:
Last Name:PARASUMANNA JANARTHANAA
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 1:16806 LESSELS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2258
Mailing Address - Country:US
Mailing Address - Phone:832-941-8667
Mailing Address - Fax:
Practice Address - Street 1:16806 LESSELS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2258
Practice Address - Country:US
Practice Address - Phone:832-941-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-20
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1308567225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist