Timothy O'dell Puckett
Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic
7007 Bandera Rd Ste 3
Leon Valley
, Texas 78238-1264
Timothy O'dell Puckett
Physical Therapist Physical Therapist - Sports Physical Therapist - Orthopedic
7007 Bandera Rd Ste 3
Leon Valley
, Texas 78238-1264
(210) 855-2542
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Timothy O'dell Puckett
- 12047 Stoney Xing
- San Antonio, TX
- Zip : 78247-3453
- Fax : (210) 855-2542
- Phone : (210) 387-6993
Second Address
- Timothy O'dell Puckett
- 7007 Bandera Rd Ste 3
- Leon Valley, TX
- Zip : 78238-1264
- Fax : (210) 855-2542
- Phone : (210) 387-6993
Reviews
FAQs
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What type of doctor is Timothy O'dell Puckett
In what state does Timothy O'dell Puckett practice in?
Where is Timothy O'dell Puckett ’s practice located?
What is Timothy O'dell Puckett ’s gender?
Is Timothy O'dell Puckett a sole practitioner?
Is Timothy O'dell Puckett accepting new patients?
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Does Timothy O'dell Puckett have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 1206227 | TX |
| N | 2251S0007X | Physical Therapist - Sports | 1206227 | TX |
| Y | 2251X0800X | Physical Therapist - Orthopedic | 1206227 | TX |
National Provider Identifier
| NPI | 1184910507 |
|---|---|
| Provider Name | Timothy O'dell Puckett |
| First Address | San Antonio, TX 78247-3453 |
| Second Address | Leon Valley, TX 78238-1264 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2011 |
| Last Update Date | 04/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12284562 | CAQH (01) | TX |
| 290438501 | (05) | TX |
| 867T19 | BCBSTX (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.