Keira Dawn Therwhanger
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Timpson, TX
NPI 1700538873 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1700538873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1160 US Highway 59 N
Timpson, TX 75975-5149 - Phone
- (936) 546-8951
- NPI assigned
- Jan 20, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
1160 US Highway 59 N
Timpson, TX 75975-5149
Mailing address
1160 US Highway 59 N
Timpson, TX 75975-5149
Phone (936) 546-8951
Other providers in Timpson, TX
- Celina Serna
- Arlisia Evette Stansberry
- Texas Quick Care, LLC
- Texas Quick Care, LLC
- Texas Quick Care, LLC
- Timpson Isd
- Timpson Volunteer Ambulance Service, Inc.
- Shelby Morgan Tullos
- Daniel T Wick
- Jane Wick
All providers in Timpson, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 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.