Puckett, Jade Isis

Puckett, Jade Isis is an sole proprietor health care provider with primary practice located at 6081 Trent Ct , League City TX 77573-6539. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Puckett, Jade Isis can be contacted via phone (832) 260-8993.

Contact Information

Primary practice address
6081 Trent Ct League City TX 77573-6539
Phone: (832) 260-8993
Fax: (832) 426-0299
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1185668 Texas

Profile Details

NPI number 1568741031
LBN Legal business name Puckett, Jade Isis
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2011
Last updated Aug 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568741031 NPPES
Texas Other 1185668 PT LICENSE

Popular Providers