Camden Kae Brown
Individual provider Active NPI Physical Therapy Clinic/Center · Lindale, TX
NPI 1992569735 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1992569735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 1387764 (TX)
- Practice address
- 2808 S Main St
Lindale, TX 75771-7774 - Phone
- (903) 780-6596
- NPI assigned
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1387764 | TX | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K Kids Therapy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1387764 | TX | Yes |
Addresses
Primary practice location
2808 S Main St
Lindale, TX 75771-7774
Mailing address
2808 S Main St Ste a
Lindale, TX 75771-7854
Phone (903) 780-6596
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All providers in Lindale, TX · Physical Therapy Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.