Provider Demographics
NPI:1457805848
Name:EARP, ANNE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:EARP
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BEE CAVES RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5266
Mailing Address - Country:US
Mailing Address - Phone:512-284-8964
Mailing Address - Fax:
Practice Address - Street 1:5000 BEE CAVES RD
Practice Address - Street 2:SUITE 206
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5266
Practice Address - Country:US
Practice Address - Phone:512-284-8964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1274265225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist