Individual
KATIE PICKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4601 66TH ST STE D, 4601 66TH STREET SUITE D, LUBBOCK, TX 79414-4875
(806) 793-3900
Mailing address
4601 66TH ST STE D, 4601 66TH STREET SUITE D, LUBBOCK, TX 79414-4875
(806) 793-3900
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2114186
TX
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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