Doctor Name: | KATIE MARTIN DOYLE |
NPI Number: | 1194064204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1227505 |
Business Practice Address: | 12702 Toepperwein Rd Ste 104 Live Oak, TX - 782333266 |
Business Phone Number: | 2106534420 |
Business Fax Number: | |
Mailing Address: | 12702 Toepperwein Rd Ste 104, LIVE OAK |
State: | TX |
Postal Code: | 782333266 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/08/2013 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 1227505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |