Healthcare Provider Details

I. General information

NPI: 1902605488
Provider Name (Legal Business Name): KATHERINE ALEXANDRA TEMNYK PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 BRYCE LN
FLOWER MOUND TX
75077-7038
US

IV. Provider business mailing address

2990 BLACKBURN ST APT 5143
DALLAS TX
75204-3222
US

V. Phone/Fax

Practice location:
  • Phone: 940-241-1215
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: