Individual
DONNA KAY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1711 E CENTRAL TEXAS EXPY STE 108-8, KILLEEN, TX 76541-9119
(254) 319-8904
(254) 247-3358
Mailing address
1711 E CENTRAL TEXAS EXPY STE 108-8, KILLEEN, TX 76541-9119
(254) 319-8904
(254) 247-3358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210810203
—
TX
05
—
210810205
—
TX
05
—
210810206
—
TX
Enumeration date
01/04/2008
Last updated
04/01/2021
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