Provider Demographics
NPI:1932956117
Name:VO, KIEUTHY (PT)
Entity type:Individual
Prefix:
First Name:KIEUTHY
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 CHILTON LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2005
Mailing Address - Country:US
Mailing Address - Phone:619-777-0212
Mailing Address - Fax:
Practice Address - Street 1:21175 SOUTHWEST FWY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-7104
Practice Address - Country:US
Practice Address - Phone:281-341-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-04
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1376692225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist