Healthcare Provider Details

I. General information

NPI: 1316596349
Provider Name (Legal Business Name): A1 THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17515 HEATH GROVE LN
RICHMOND TX
77407-8031
US

IV. Provider business mailing address

17515 HEATH GROVE LN
RICHMOND TX
77407-8031
US

V. Phone/Fax

Practice location:
  • Phone: 832-205-2097
  • Fax:
Mailing address:
  • Phone: 832-205-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MARVIN DEVON ALEXANDER
Title or Position: CEO
Credential:
Phone: 832-205-2097