Elisa Nunez Santiago
Individual provider Active NPI Physical Therapy Assistant · Corrigan, TX
NPI 1043748064 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043748064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2128332 (TX)
- Practice address
- 300 Hyde St
Corrigan, TX 75939-2088 - Phone
- (754) 757-5837
- NPI assigned
- Jun 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2128332 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2128332 | TX | Yes |
Addresses
Primary practice location
300 Hyde St
Corrigan, TX 75939-2088
Mailing address
128 Cisco
Moscow, TX 75960-0106
Phone (754) 757-5837
Other practice location 1
12218 W Sample Rd
Coral Springs, FL 33065-4223
Phone (754) 240-4523
Other providers in Corrigan, TX
- Pamela Freeman
- David Eugene King
- Kathy Leedy
- Cullen Todd Mezger
- Rebecca Renee Noel
- Melissa Jean Vann
- Kiara Brashae Walker
- Patricia Walker
- Winnie-Stowell Hospital District
All providers in Corrigan, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.