Provider Demographics
NPI:1730219304
Name:SPEIGHTS, WESLEY HUGH (ATC, LAT, RMT)
Entity type:Individual
Prefix:MR
First Name:WESLEY
Middle Name:HUGH
Last Name:SPEIGHTS
Suffix:
Gender:M
Credentials:ATC, LAT, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 LAKE COLONY DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3929
Mailing Address - Country:US
Mailing Address - Phone:281-261-8289
Mailing Address - Fax:713-845-5057
Practice Address - Street 1:2827 LAKE COLONY DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3929
Practice Address - Country:US
Practice Address - Phone:281-261-8289
Practice Address - Fax:713-845-5057
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT03282255A2300X
TXMT026671225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist