Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Marissa Lourdes Bautista

Individual provider Physical Therapist · NPI 1902236110

Mrs. Marissa Lourdes Bautista is a Physical Therapist in Ennis, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2013
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Practice location Address checks out

1400 Medical Center Dr
Ennis, TX 75119-1587
Phone: (972) 875-4800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1226965 (TX)

Record details

NPI number1902236110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2013
Last updated in NPPESNovember 25, 2013

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