Katheryn Lanae Walston
Physical Therapy Assistant in Blanco, TX. Individual provider (NPI-1).
NPI number1447922414
StatusActive
Last updated in NPPESSep 29, 2021
Details
- NPI
- 1447922414
- Entity type
- Individual (NPI-1)
- Name
- Katheryn Lanae Walston
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2021
- Certification date
- Sep 29, 2021
- Last updated
- Sep 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
1015 Lazy Creek LnBlanco, TX 78606-4318
Phone 210-249-1049
Mailing address
511 N Us Highway 281Marble Falls, TX 78654-5708
Phone 830-992-2830
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