NPI 1689345563 · live from the CMS NPI Registry
Javis C Aultman, PT
Physical Therapist in Dallas, TX. National Provider Identifier 1689345563, active.
NPI record
| NPI | 1689345563 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3107 W Camp Wisdom Rd, Dallas, TX 75237 |
| Practice phone | 214-339-4533 |
| Mailing address | 2108 Brighton Pl, Harvey, LA 70058 |
| Enumerated | September 21, 2021 |
| Last updated | September 21, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 1353195 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.