Provider Demographics
NPI:1356899645
Name:PAPPAS, ALIKI KATERINI (ATC, LAT)
Entity type:Individual
Prefix:MISS
First Name:ALIKI
Middle Name:KATERINI
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2223 HIBISCUS AVE
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-8426
Mailing Address - Country:US
Mailing Address - Phone:214-842-9888
Mailing Address - Fax:
Practice Address - Street 1:2223 HIBISCUS AVE
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-8426
Practice Address - Country:US
Practice Address - Phone:214-842-9888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
20000393232255A2300X
TXAT83912255A2300X
TX83912255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer