Tejaswi Khadka, TPT, DPT, NCS

Individual provider Active NPI Physical Therapist · Spicewood, TX

NPI 1992385702 · NPPES record last updated Sep 23, 2021

Key facts

NPI
1992385702
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
1339535 (TX)
Practice address
20424 Haystack CV
Spicewood, TX 78669-6441
Phone
(512) 261-3584
Fax
(512) 524-3649
NPI assigned
Apr 14, 2021
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
1339535TXMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 1339535 TX Yes

Addresses

Primary practice location

20424 Haystack CV
Spicewood, TX 78669-6441

Mailing address

20424 Haystack CV
Spicewood, TX 78669-6441
Phone (512) 261-3584

Other providers in Spicewood, TX

All providers in Spicewood, TX · Physical Therapist in Texas

Sources for this page

Verify at the official NPI Registry.