Individual
KASSIDY NEIDERHISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
6701 PINEMONT DR, SUITE 200, HOUSTON, TX 77092-3132
(832) 209-7830
Mailing address
6701 PINEMONT DR, SUITE 200, HOUSTON, TX 77092-3132
(832) 209-7830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2089830
TX
225700000X
Massage Therapist
MT109203
TX
Other
Enumeration date
09/12/2011
Last updated
01/13/2015
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