Individual
MRS. KATHY JEAN TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
413 EARL DRIVE, KERRVILLE, TX 78028-7018
(830) 329-4751
Mailing address
413 EARL DR, KERRVILLE, TX 78028-7018
(830) 329-4751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
02122009
TX
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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