Provider Demographics
NPI:1346046596
Name:ARNOLD, PRESTON (DPT)
Entity type:Individual
Prefix:
First Name:PRESTON
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 HOPPER LN
Mailing Address - Street 2:
Mailing Address - City:MELISSA
Mailing Address - State:TX
Mailing Address - Zip Code:75454-9936
Mailing Address - Country:US
Mailing Address - Phone:614-512-3992
Mailing Address - Fax:
Practice Address - Street 1:3059 CHAMPION WAY STE 400
Practice Address - Street 2:
Practice Address - City:MELISSA
Practice Address - State:TX
Practice Address - Zip Code:75454-2795
Practice Address - Country:US
Practice Address - Phone:469-885-8671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1405892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist