Individual
KATELYNN R GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
(903) 793-0053
Mailing address
4824 MCKNIGHT RD, TEXARKANA, TX 75503-0935
(903) 793-6135
(903) 793-0053
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2155980
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155980
TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS
TX
Enumeration date
07/12/2021
Last updated
07/12/2021
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