MEDICARE: EMILY ANN THOES DPT

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	1294027	TX

General Provider Information

NPI Number	:	1386163079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ANN THOES DPT

Provider Business Mailing Address
First Line	:	4245 N CENTRAL EXPWY, #490
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205
Country	:	US
Telephone Number	:	214-307-2819
Fax Number	:	833-585-2473

Provider Business Practice Location Address
First Line	:	2901 CITYPLACE WEST BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75204-0370
Country	:	US
Telephone Number	:	214-307-2819
Fax Number	:	833-535-2473

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

Provider Enumeration Date	:	09/13/2017
Last Update Date	:	11/21/2024

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