Stella Louise Brendel, PTA

Individual provider Active NPI Physical Therapy Assistant · Pleasanton, TX

NPI 1619456209 · NPPES record last updated Aug 14, 2018

Key facts

NPI
1619456209
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2027589 (TX)
Practice address
1855 W Goodwin St
Pleasanton, TX 78064-4502
Phone
(830) 569-4313
NPI assigned
Aug 14, 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

LicenseStateTypeSpecialty
2027589TXMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2027589 TX Yes

Addresses

Primary practice location

1855 W Goodwin St
Pleasanton, TX 78064-4502

Mailing address

2203 Zanderson Ave
Jourdanton, TX 78026-3349

Other providers in Pleasanton, TX

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

Sources for this page

Verify at the official NPI Registry.