Provider Demographics
NPI:1417365917
Name:VENHUIZEN, JAMES (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:VENHUIZEN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12309 N MOPAC EXPY STE 150
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2577
Mailing Address - Country:US
Mailing Address - Phone:512-992-6794
Mailing Address - Fax:
Practice Address - Street 1:10520 FOSSEWAY DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4445
Practice Address - Country:US
Practice Address - Phone:512-992-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-28
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1042745174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist