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NPI Code Detail

MEDICARE: CHASTITY STANLEY-SUQUETT LPTA

MEDICARE:   CHASTITY  STANLEY-SUQUETT  LPTA
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
1225400000XRehabilitation Practitioner
2225200000XPhysical Therapy Assistant2052740TX

General Provider Information

NPI Number : 1134978141
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASTITY STANLEY-SUQUETT LPTA
Provider Business Mailing Address
First Line : 104 FRISCO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77022-5404
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8861 FULTON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77022-2025
Country : US
Telephone Number : 832-217-8969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2024
Last Update Date : 05/14/2024

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Directions to “ CHASTITY STANLEY-SUQUETT LPTA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.