Provider Demographics
NPI:1871287904
Name:FRANTUM, HANNAH M (PT)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:M
Last Name:FRANTUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11203 KIRBY AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-7827
Mailing Address - Country:US
Mailing Address - Phone:806-549-5841
Mailing Address - Fax:
Practice Address - Street 1:6831 82ND ST STE 101
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-5068
Practice Address - Country:US
Practice Address - Phone:806-549-5841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194620225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist