Provider Demographics
NPI:1679929079
Name:HIGHT, BRIANNE RENNAI (OTR,MOT)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:RENNAI
Last Name:HIGHT
Suffix:
Gender:F
Credentials:OTR,MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16166 CHINABERRY AVE
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:TX
Mailing Address - Zip Code:79758-4311
Mailing Address - Country:US
Mailing Address - Phone:806-470-2266
Mailing Address - Fax:
Practice Address - Street 1:16166 CHINABERRY AVE
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:TX
Practice Address - Zip Code:79758-4311
Practice Address - Country:US
Practice Address - Phone:806-470-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3520225X00000X
TX116192225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist