Laurie Briggle

Individual provider Active NPI Physical Therapy Assistant · Bridgeport, TX

NPI 1053546192 · NPPES record last updated May 19, 2009

Key facts

NPI
1053546192
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2017786 (TX)
Practice address
2108 15TH St
Bridgeport, TX 76426-2055
Phone
(940) 683-0153
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2017786TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2017786 TX Yes

Addresses

Primary practice location

2108 15TH St
Bridgeport, TX 76426-2055

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Bridgeport, TX

All providers in Bridgeport, TX · Physical Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.