Individual
KATIE MARIE LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
5604 SUMMERHILL RD, SUITE 7, TEXARKANA, TX 75503-4650
(903) 794-0720
(903) 794-0512
Mailing address
5604 SUMMERHILL RD, SUITE 7, TEXARKANA, TX 75503-4650
(903) 794-0720
(903) 794-0512
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1554
TX
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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