Provider Demographics
NPI:1699572701
Name:CONNOR, ALANNI BROOKE (PT)
Entity type:Individual
Prefix:
First Name:ALANNI
Middle Name:BROOKE
Last Name:CONNOR
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6414 BUFFALO BEND LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-4080
Mailing Address - Country:US
Mailing Address - Phone:254-339-7450
Mailing Address - Fax:
Practice Address - Street 1:6414 BUFFALO BEND LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-4080
Practice Address - Country:US
Practice Address - Phone:254-339-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1379623225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist