Jessica Coultrip

Physical Therapy Assistant · Fort Worth, TX

Individual Active NPI

NPI number 1114679537

Practice location

1106 Alston Ave Ste 120
Fort Worth, TX 76104-4622
Phone
(832) 320-3193

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NPI record

NPI
1114679537
Entity type
Individual (Type 1)
Enumeration date
January 26, 2022
Last updated
January 26, 2022
Certified
January 26, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2159757 TX

Mailing address

3902 Country Club Rd
Arlington, TX 76013-3046
Phone
(682) 459-1614

About Jessica Coultrip

Jessica Coultrip is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1106 Alston Ave Ste 120, Fort Worth, TX 76104-4622. The NPI number 1114679537 was assigned on January 26, 2022 and the record was last updated on January 26, 2022.

Jessica Coultrip lists a license in the registry: #2159757 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jessica Coultrip?

The NPI number is 1114679537.

What is the phone number of Jessica Coultrip?

The phone number listed for the practice location is (832) 320-3193.

Where is Jessica Coultrip located?

1106 Alston Ave Ste 120, Fort Worth, TX 76104-4622.

What is the taxonomy code for Jessica Coultrip?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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