Individual
ALEXIS ILSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
1307 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363-7130
(361) 595-9405
Mailing address
3727 ANDRON ST, KINGSVILLE, TX 78363-7418
(361) 816-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1183180
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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