Provider Demographics
NPI:1275956625
Name:HENSARLING, KATHRYN LAUREN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LAUREN
Last Name:HENSARLING
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 FM 2181
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HICKORY CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:75065-7636
Mailing Address - Country:US
Mailing Address - Phone:940-498-4004
Mailing Address - Fax:940-498-4004
Practice Address - Street 1:3600 FM 2181
Practice Address - Street 2:SUITE 400
Practice Address - City:HICKORY CREEK
Practice Address - State:TX
Practice Address - Zip Code:75065-7636
Practice Address - Country:US
Practice Address - Phone:940-498-4004
Practice Address - Fax:940-498-4004
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31148302251X0800X
TX1239638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic