Provider Demographics
NPI:1447537063
Name:THOMAS, BRITNI SHANE (DPT)
Entity type:Individual
Prefix:MS
First Name:BRITNI
Middle Name:SHANE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 MURWORTH DR
Mailing Address - Street 2:#104
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-4436
Mailing Address - Country:US
Mailing Address - Phone:281-386-8812
Mailing Address - Fax:
Practice Address - Street 1:3001 MURWORTH DR
Practice Address - Street 2:#104
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-4436
Practice Address - Country:US
Practice Address - Phone:281-386-8812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1191018225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist