| NPI | 1962937995 |
|---|---|
| Former Name | KATELYN PAIGE ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1278872) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2025-08-26 |