Provider Demographics
NPI:1669287306
Name:LYONS, ALEXANDRA BROOKE (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:BROOKE
Last Name:LYONS
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 1:404 TRIGGER TRL
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-1894
Mailing Address - Country:US
Mailing Address - Phone:940-390-2218
Mailing Address - Fax:
Practice Address - Street 1:3100 UNICORN LAKE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-1544
Practice Address - Country:US
Practice Address - Phone:469-535-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist