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1669954715 NPI number — KAVITHA SALOMI AMARESAN M.S.PT

NPI Number: 1669954715
Health Care Provider/Practitioner: KAVITHA SALOMI AMARESAN M.S.PT

Information about “1669954715” NPI (KAVITHA SALOMI AMARESAN M.S.PT) exists in 1669954715 in HTML format HTML  |  1669954715 in plain Text format TXT  |  1669954715 in PDF (Portable Document Format) PDF  |  1669954715 in an XML format XML  formats.

NPI Number : 1669954715 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1669954715",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AMARESAN",
    "FirstName": "KAVITHA",
    "MiddleName": "SALOMI",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "26335 CEDAR PINE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KATY",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77494-5781",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "930-818-2767",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "401 N ELM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DENTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76201-4137",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "940-387-4496",
    "PracticeLocationAddressFaxNumber": "940-380-2429",
    "EnumerationDate": "09/05/2018",
    "LastUpdateDate": "09/05/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "1189880",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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