Provider Demographics
NPI:1629687397
Name:WELCH, KATHERINE BRAMLETT (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:BRAMLETT
Last Name:WELCH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:BRAMLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5310 ACTON HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-3105
Mailing Address - Country:US
Mailing Address - Phone:817-326-1375
Mailing Address - Fax:
Practice Address - Street 1:5310 ACTON HWY STE 106
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-3105
Practice Address - Country:US
Practice Address - Phone:817-326-1375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1330585225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist