Individual
KAITLYN EVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 LARSON LN, ALEDO, TX 76008-4589
(817) 431-9000
Mailing address
10640 N RIVERSIDE DR STE 200, FORT WORTH, TX 76244-9506
(817) 431-9000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1306106
TX
2251P0200X
Pediatric Physical Therapist
Primary
1306106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306106
PHYSICAL THERAPIST
TX
Enumeration date
11/08/2018
Last updated
07/11/2024
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