Giddens, Katelynn R
Giddens, Katelynn R is an individual health care provider with primary practice located at 4824 Mcknight Rd , Texarkana TX 75503-0935. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Giddens, Katelynn R can be contacted via phone (903) 793-6135.Contact Information
Primary practice address
4824 Mcknight Rd
Texarkana TX 75503-0935
Phone: (903) 793-6135
Fax: (903) 793-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2155980 | Texas |
Profile Details
| NPI number | 1215509021 |
|---|---|
| LBN Legal business name | Giddens, Katelynn R |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2021 |
| Last updated | Jul 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215509021 | NPPES |
| Texas | Other | 2155980 | TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS |
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