Individual provider · Type 1 NPI

Katie Lynn Wilson, PT, DPT

Pediatric Physical Therapist · Tyler, TX

NPI number 1972980779 Active

Practice location

100 E Ferguson St Ste 1204
Tyler, TX 75702-5700

Other practice locations

  • 1001 Wsw Loop 323, Tyler, TX 75701-9416 · (903) 509-1313

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X1232246 (TX)

Pediatric Physical Therapist: 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 th…

19 other providers at this address

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About NPI 1972980779

Katie Lynn Wilson, PT, DPT's National Provider Identifier is 1972980779, issued on Apr 30, 2015. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Tyler, TX. The record was last updated on Mar 4, 2018.