SearchTexas235Z00000X

Laislee Van Etten

NPI 1821374000 · on the registry since 2011 · sole proprietor

Practice

Address
8721 Southwick Dr
Austin, TX 78724
Phone
(512) 542-1265
Organisation at this address
Fox Therapies, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
Licence states on file
CO, TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas