| NPI | 1104339654 |
|---|---|
| Former Name | KATELYN HARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 310452) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1298665) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2026-09-18 |