Provider Demographics
NPI:1356643332
Name:OFFIELD, KATIE MICHELE (PT)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:MICHELE
Last Name:OFFIELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5236 W UNIVERSITY DR STE 3500
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-8122
Mailing Address - Country:US
Mailing Address - Phone:469-952-5082
Mailing Address - Fax:
Practice Address - Street 1:5236 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7889
Practice Address - Country:US
Practice Address - Phone:469-952-5082
Practice Address - Fax:972-985-1788
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1197582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist