Individual provider · Type 1 NPI
Andrea Fuller, PT, DPT, SCS
Sports Physical Therapist · Fort Sam Houston, TX
Practice location
3851 Roger Brooke Dr, Mche-Qd/credentials
Fort Sam Houston, TX 78234-4501
Mailing address
20823 Stevens Creek Blvd, Ste 200
Cupertino, CA 95014-2112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 05007204A (IN) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
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About NPI 1881685543
Andrea Fuller, PT, DPT, SCS's National Provider Identifier is 1881685543, issued on Nov 2, 2005. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Jul 13, 2026.