Individual
MADISON KIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5420 WEST LOOP S STE 1400, BELLAIRE, TX 77401-2115
(713) 341-4531
Mailing address
5420 WEST LOOP S STE 1400, BELLAIRE, TX 77401-2115
(713) 341-4531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2147633
TX
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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