Provider Demographics
NPI:1043902687
Name:NAIR, CHITRALEKHA (PT)
Entity type:Individual
Prefix:
First Name:CHITRALEKHA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 COLBY DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-6389
Mailing Address - Country:US
Mailing Address - Phone:318-505-9529
Mailing Address - Fax:972-810-0115
Practice Address - Street 1:1932 WALNUT PLZ
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5810
Practice Address - Country:US
Practice Address - Phone:469-892-5222
Practice Address - Fax:972-810-0115
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1356609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist