MEDICARE: DR. ALEXIS LAJEUNESSE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	225100000X	Physical Therapist	TX
2	2251S0007X	Sports Physical Therapist	TX
3	2251X0800X	Orthopedic Physical Therapist	TX

General Provider Information

NPI Number	:	1669138517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXIS LAJEUNESSE DPT

Provider Business Mailing Address
First Line	:	8877 FRANKWAY DR APT 4430
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77096-1909
Country	:	US
Telephone Number	:	832-865-0918
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 WEST LOOP S
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-2206
Country	:	US
Telephone Number	:	713-441-9000
Fax Number	:

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

Provider Enumeration Date	:	11/15/2021
Last Update Date	:	11/15/2021

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