Provider Demographics
NPI:1194309567
Name:METCALF, ADELE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ADELE
Middle Name:
Last Name:METCALF
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 E BUSINESS 190 UNIT 224
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-2521
Mailing Address - Country:US
Mailing Address - Phone:254-577-4938
Mailing Address - Fax:254-577-4935
Practice Address - Street 1:3010 E BUSINESS 190 UNIT 224
Practice Address - Street 2:
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2521
Practice Address - Country:US
Practice Address - Phone:254-577-4938
Practice Address - Fax:254-577-4935
Is Sole Proprietor?:No
Enumeration Date:2021-05-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist