Provider Demographics
NPI:1770990897
Name:DELGADO, KAY F (PT)
Entity type:Individual
Prefix:MS
First Name:KAY
Middle Name:F
Last Name:DELGADO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 BIRDSALL ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-7138
Mailing Address - Country:US
Mailing Address - Phone:713-582-6949
Mailing Address - Fax:
Practice Address - Street 1:3910 FAIRMONT PKWY
Practice Address - Street 2:SUITE G
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3076
Practice Address - Country:US
Practice Address - Phone:281-487-8177
Practice Address - Fax:281-487-7433
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1001477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist