Individual
KIDIST MEKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10425 HUFFMEISTER RD STE 320, HOUSTON, TX 77065-3429
(281) 955-2650
Mailing address
15826 IRONSIDE CREEK DR, HOUSTON, TX 77053-3413
(832) 277-2555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2135929
TX
Other
Enumeration date
02/16/2018
Last updated
06/10/2025
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