Individual
KAHLA DEETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5505
(570) 850-1075
Mailing address
5700 E CENTRAL TEXAS EXPY, KILLEEN, TX 76543-5505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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