Provider Demographics
NPI:1770949752
Name:SUGGS, ROSEMARY ELLEN (DPT)
Entity type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:ELLEN
Last Name:SUGGS
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 1:208 RAINBOW DR # 10856
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77399-2008
Mailing Address - Country:US
Mailing Address - Phone:501-908-2821
Mailing Address - Fax:
Practice Address - Street 1:208 RAINBOW DR # 10856
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77399-2008
Practice Address - Country:US
Practice Address - Phone:501-908-2821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4074225100000X
TX1266448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist