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Katie Lynn Wilson, PT,DPT
Pediatric Physical Therapist in Tyler, Texas
NPI 1972980779

Katie Lynn Wilson is a Pediatric Physical Therapist based in Tyler, TX and is specialized in Pediatrics. Katie Lynn Wilson practices in Tyler, TX and has the professional credentials of PT,DPT. The NPI Number for Katie Lynn Wilson is 1972980779 and holds a License No. 1232246 (Texas).

The current practice location address for Katie Lynn Wilson is 100 E Ferguson St Ste 1204, Tyler, TX and can be reached out via phone at 903-509-2040. You can also correspond with Katie Lynn Wilson through the mailing address at 100 E FERGUSON ST STE 1204, TYLER, TX - 75702-5700 (mailing address contact number: 903-509-2040).

Location: 100 E Ferguson St Ste 1204, Tyler, TX, 75702-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972980779
Provider Name
Katie Lynn Wilson
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
100 E Ferguson St Ste 1204, Tyler, TX, 75702-5700
Phone Number
903-509-2040
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1972980779 05 TX
institution
Provider Business Practice Location Address Details
Address
100 E Ferguson St Ste 1204
City
Tyler
State
Texas
Zip
75702-5700
Phone Number
903-509-2040
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Ferguson St Ste 1204
City
Tyler
State
Texas
Zip
75702-5700
Phone Number
903-509-2040
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
1232246 (Texas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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