Provider Demographics
NPI:1336628734
Name:THAKKAR, JAHNVI HARESHKUMAR (DPT)
Entity Type:Individual
Prefix:
First Name:JAHNVI
Middle Name:HARESHKUMAR
Last Name:THAKKAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GESSNER RD STE 115
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77080-3839
Mailing Address - Country:US
Mailing Address - Phone:713-996-7996
Mailing Address - Fax:713-996-7591
Practice Address - Street 1:550 GREENS PKWY STE 115
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4538
Practice Address - Country:US
Practice Address - Phone:832-962-8805
Practice Address - Fax:713-996-7591
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1283780225100000X
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist