Dr. Katherine Lee South Adams, PT, DPT
Physical Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1689271611
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1689271611
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katherine Lee South Adams
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2020
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1331285 | TX | Yes |
| 225100000X | Physical Therapist | 2275 | ND |
Practice location
909 N Washington AveDallas, TX 75246-1520
Phone 214-820-9300
Mailing address
5915 Prospect AveDallas, TX 75206-7241
Phone 208-596-6834
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