NPI 1407012115 · live from the CMS NPI Registry
Autumn Nicole Aneshansley, MPT
Physical Therapist in Lubbock, TX. National Provider Identifier 1407012115, active.
NPI record
| NPI | 1407012115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3838 50th St, Lubbock, TX 79413 |
| Practice phone | 806-792-5522 |
| Mailing address | 3732 S Louisville Ave, Tulsa, OK 74135 |
| Enumerated | August 1, 2008 |
| Last updated | June 11, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 4099 (OK) |
| Physical Therapist primary | 225100000X | 1225532 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.