Individual ProviderKatie Lynn ShoupPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6601 Montana Ave Ste H, El Paso, TX 79925-2143(915) 838-7604PECOS EnrollmentBased on the most recent information from CMS, provider Katie Lynn Shoup does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1932869369Provider TypeIndividualFull NameShoup, Katie LynnCredentialPTGenderFemaleSole ProprietorYesEnumeration Date12/27/2021Last Updated12/27/2021Contact InformationPractice LocationPractice Address6601 Montana Ave Ste H, El Paso, TX 79925-2143Phone(915) 838-7604Fax(866) 218-8230Mailing LocationMailing Address6601 Montana Ave Ste H, El Paso, TX 79925-2143Phone(915) 838-7604Fax(866) 218-8230Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1355236Texas