Individual
KATELYN NICOLE THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTD
Contact information
Practice address
1431 GREENWAY DR STE 500, IRVING, TX 75038-2444
(877) 688-2520
Mailing address
600 N GROVE BLVD UNIT 3220, WAXAHACHIE, TX 75165-0150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125600
TX
Other
Enumeration date
07/11/2025
Last updated
12/14/2025
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