IndividualActive
Laura Black, PT
NPI 1770979080 · Geriatric Physical Therapist · Austin, TX
Provider details
- NPI number
- 1770979080
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1168830 (TX)
Mailing address
1420 Shoreview Cv
Austin, TX 78732-2233
Registry dates
- Enumerated
- 2015-04-13
- Last updated
- 2015-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.