Individual
KRISTY WEDEKING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 S MASON RD, KATY, TX 77450-6258
(443) 854-1421
Mailing address
3202 BANDERA RUN LN, KATY, TX 77494-2776
(443) 854-1421
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125510
TX
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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