Individual
CHRISTOPHER M THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
527 TUSKEGEE AIRMEN AVE, BLDG 500, SHEPPARD AFB, TX 76311
(940) 676-4274
Mailing address
4107 ABBOTT AVE, WICHITA FALLS, TX 76308-3401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2163589
TX
Other
Enumeration date
07/07/2022
Last updated
08/26/2024
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