MEDICARE: VALERIE DEHULSTERS 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	1132652	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588767420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE DEHULSTERS PT

Provider Business Mailing Address
First Line	:	800 W HIGHWAY 290 STE B300
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4051
Country	:	US
Telephone Number	:	512-858-5191
Fax Number	:	512-858-5194

Provider Business Practice Location Address
First Line	:	800 W HIGHWAY 290 STE B300
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4051
Country	:	US
Telephone Number	:	512-858-5191
Fax Number	:	512-858-5194

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

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	05/22/2024

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