Provider Demographics
NPI:1740588763
Name:NORTON, KATIE (DPT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:NORTON
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 1:21195 INTERSTATE 35
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6076
Mailing Address - Country:US
Mailing Address - Phone:512-268-0000
Mailing Address - Fax:512-268-0004
Practice Address - Street 1:21195 INTERSTATE 35
Practice Address - Street 2:SUITE 201
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6076
Practice Address - Country:US
Practice Address - Phone:512-268-0000
Practice Address - Fax:512-268-0004
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1202773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist