MEDICARE: KATHERINE M SPALDING PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1407205	TX

General Provider Information

NPI Number	:	1013896711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE M SPALDING PT, DPT

Provider Business Mailing Address
First Line	:	10415 STATE HIGHWAY 151 STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-4553
Country	:	US
Telephone Number	:	210-647-1167
Fax Number	:	210-647-7229

Provider Business Practice Location Address
First Line	:	4944 RESEARCH DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-5006
Country	:	US
Telephone Number	:	210-647-1167
Fax Number	:	210-647-7229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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