Krystal Lynn Raybon
Individual provider Active NPI Physical Therapy Assistant · Garrison, TX
NPI 1477035624 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1477035624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2101387 (TX)
- Practice address
- 333 FM 95
Garrison, TX 75946 - Phone
- (936) 347-2234
- NPI assigned
- Sep 4, 2018
- 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 |
|---|---|---|---|
| 2101387 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2101387 | TX | Yes |
Addresses
Primary practice location
333 FM 95
Garrison, TX 75946
Mailing address
218 Connell Ferry Rd
Joaquin, TX 75954-2402
Phone (903) 692-2066
Other providers in Garrison, TX
- Tammy Renee Jones
- John David Liedtke
- Shelly Mills
- Kristal Parfait
- PDC Kendall Gengel Dudley Garrison LLC
- Shay Scarborough
- Justin Ray Smelley
- David Glenn Turner
- Sharon Goodson Williams
- Winnie-Stowell Hospital District
All providers in Garrison, 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 Sep 4, 2018. 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.