Provider Demographics
NPI:1942677398
Name:BUDGE, KATY (OTR)
Entity Type:Individual
Prefix:MS
First Name:KATY
Middle Name:
Last Name:BUDGE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 ROCKCLIFF ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-2626
Mailing Address - Country:US
Mailing Address - Phone:972-339-0663
Mailing Address - Fax:
Practice Address - Street 1:1509 ROCKCLIFF ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-2626
Practice Address - Country:US
Practice Address - Phone:972-339-0663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112766225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist