Individual
KATHERYN LANAE WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 LAZY CREEK LN, BLANCO, TX 78606-4318
(210) 249-1049
Mailing address
511 N US HIGHWAY 281, MARBLE FALLS, TX 78654-5708
(830) 992-2830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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