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Katelyn Nicole Threadgill, OTR, OTD

Occupational Therapist in Irving, TX. Individual provider (NPI-1).

NPI number1609767367
StatusActive
Last updated in NPPESDec 14, 2025

Details

NPI
1609767367
Entity type
Individual (NPI-1)
Name
Katelyn Nicole Threadgill
Credential
OTR, OTD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2025
Certification date
Dec 14, 2025
Last updated
Dec 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist125600TXYes

Other names

  • Katelyn Nicole Campbell (Former Name)

Practice location

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Phone 877-688-2520

Mailing address

600 N Grove Blvd Unit 3220
Waxahachie, TX 75165-0150

Other practice locations

12801 N Central Expy Ste 1150
Dallas, TX 75243-1779

Phone 972-702-0300

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