Healthcare Provider Details

I. General information

NPI: 1477581197
Provider Name (Legal Business Name): KATHERINE ANNE HEIMERDINGER P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 SAN JACINTO BLVD SUITE 108
DENTON TX
76205-7535
US

IV. Provider business mailing address

2318 SAN JACINTO BLVD STE 108
DENTON TX
76205-7535
US

V. Phone/Fax

Practice location:
  • Phone: 940-380-9111
  • Fax: 940-380-9112
Mailing address:
  • Phone: 817-961-0153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1136976
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: