MEDICARE: CHRYSTA T. LLOYD 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	1162837	TX

General Provider Information

NPI Number	:	1407150907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRYSTA T. LLOYD DPT

Provider Business Mailing Address
First Line	:	8434 ROLLINS BEND LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2096
Country	:	US
Telephone Number	:	281-494-4789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2582 S LOOP W
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2634
Country	:	US
Telephone Number	:	713-667-4325
Fax Number	:

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

Provider Enumeration Date	:	12/27/2010
Last Update Date	:	12/27/2010

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