Healthcare Provider Details

I. General information

NPI: 1013896711
Provider Name (Legal Business Name): KATHERINE M SPALDING PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4944 RESEARCH DR
SAN ANTONIO TX
78240-5006
US

IV. Provider business mailing address

10415 STATE HIGHWAY 151 STE 101
SAN ANTONIO TX
78251-4553
US

V. Phone/Fax

Practice location:
  • Phone: 210-647-1167
  • Fax: 210-647-7229
Mailing address:
  • Phone: 210-647-1167
  • Fax: 210-647-7229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1407205
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: