Provider Demographics
NPI:1265906382
Name:BRYAN, KATHRYN MUEHLSTEIN (DC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:MUEHLSTEIN
Last Name:BRYAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 HORIZON RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-4828
Mailing Address - Country:US
Mailing Address - Phone:903-452-9565
Mailing Address - Fax:
Practice Address - Street 1:905 HORIZON RIDGE CIR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-4828
Practice Address - Country:US
Practice Address - Phone:903-452-9565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13993111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician