Provider Demographics
NPI:1336452614
Name:KATLEYA, LLC
Entity Type:Organization
Organization Name:KATLEYA, LLC
Other - Org Name:THERAPY RIGHT OF PASADENA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FIDES
Authorized Official - Middle Name:M
Authorized Official - Last Name:VALENCIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:713-419-4840
Mailing Address - Street 1:615 HARRIS AVE.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-4648
Mailing Address - Country:US
Mailing Address - Phone:713-477-8889
Mailing Address - Fax:281-303-5789
Practice Address - Street 1:615 HARRIS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4648
Practice Address - Country:US
Practice Address - Phone:713-477-8889
Practice Address - Fax:281-303-5789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy