Adrianne Gutierrez
Individual provider Active NPI Physical Therapy Assistant · Port Lavaca, TX
NPI 1851700611 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1851700611
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2097731 (TX)
- Practice address
- 1300 N Virginia St
Port Lavaca, TX 77979-2509 - Phone
- (361) 552-5400
- Fax
- (361) 552-5406
- NPI assigned
- Aug 6, 2014
- 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 |
|---|---|---|---|
| 2097731 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2097731 | TX | Yes |
Addresses
Primary practice location
1300 N Virginia St
Port Lavaca, TX 77979-2509
Mailing address
1300 N Virginia St
Port Lavaca, TX 77979-2509
Phone (361) 552-5400
Other providers in Port Lavaca, TX
- Jeannine L. Griffin
- Valerie Anyssa Guerra
- Gulf Bend MRMR Center Icf/Mr
- Gulf Coast Foot Clinic PA
- Gulf Coast Foot Clinic PA
- H-E-B, LP
- Jaclyn Hartl
- Diana Hoover
- Clare Horadam
- Mabel Allene Hunt
All providers in Port Lavaca, 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 Aug 6, 2014. 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.