Provider Demographics
NPI:1437384039
Name:THOMPSON, KATY KATHRYN (PT)
Entity type:Individual
Prefix:MRS
First Name:KATY
Middle Name:KATHRYN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KATY
Other - Middle Name:KATHRYN
Other - Last Name:SHRAUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13835 N TATUM BLVD STE 9442
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5581
Mailing Address - Country:US
Mailing Address - Phone:602-750-7280
Mailing Address - Fax:602-666-6074
Practice Address - Street 1:1255 N ARIZONA AVE UNIT 1217
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-0710
Practice Address - Country:US
Practice Address - Phone:602-750-7280
Practice Address - Fax:602-666-6074
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0005855225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty