Provider Demographics
NPI:1932346806
Name:TRUETT, LAURENCE SAUNDERS (PT)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:SAUNDERS
Last Name:TRUETT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20918 OCHRE WILLOW TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6088
Mailing Address - Country:US
Mailing Address - Phone:832-524-0176
Mailing Address - Fax:
Practice Address - Street 1:16341 MUESCHKE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:832-524-0176
Practice Address - Fax:832-524-0176
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1186200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist