MEDICARE: TAMY T ARNETT PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1105898	TX

General Provider Information

NPI Number	:	1215246327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMY T ARNETT PT

Provider Business Mailing Address
First Line	:	17360 NORTHWEST FWY
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77040-1114
Country	:	US
Telephone Number	:	713-849-2253
Fax Number	:

Provider Business Practice Location Address
First Line	:	17360 NORTHWEST FWY
Second Line	:
City	:	JERSEY VILLAGE
State	:	TX
Zip	:	77040-1114
Country	:	US
Telephone Number	:	713-849-2253
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	10/07/2010

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