1851059075 NPI number — MRS. VALERIE CHRISTINA HYMEL PT

Table of content: MRS. VALERIE CHRISTINA HYMEL PT (NPI 1851059075)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851059075 NPI number — MRS. VALERIE CHRISTINA HYMEL PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HYMEL
Provider First Name:
VALERIE
Provider Middle Name:
CHRISTINA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MANSOOR-HYMEL
Provider Other First Name:
VALERIE
Provider Other Middle Name:
CHRISTINA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1851059075
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3632 TOLMAS DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70002-1843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-460-7425
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 E WORTHY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GONZALES
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70737-4232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-460-7425
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/05/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251N0400X , with the licence number:  01007 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01007 . This is a "PHYSICAL THERAPY LICESNE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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