Thornton, Kelli D
Thornton, Kelli D is an individual health care provider with primary practice located at 12845 Fm 2154 Rd Suite 100, College Station TX 77845-3982. 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. Thornton, Kelli D can be contacted via phone (979) 696-4800.Contact Information
Primary practice address
12845 Fm 2154 Rd Suite 100
College Station TX 77845-3982
Phone: (979) 696-4800
Fax: (979) 695-6947
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1111656 | Texas |
Profile Details
NPI number | 1861438152 |
---|---|
LBN Legal business name | Thornton, Kelli D |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861438152 | NPPES |
Texas | Other | 1111656 | PHYSICAL THERAPY LICENSE |
Texas | Other | 8T1332 | PHYSICAL THERAPY LICENSE |
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