Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn Renee Bustillos

Individual provider Occupational Therapy Assistant · NPI 1811844616

Katelyn Renee Bustillos is an Occupational Therapy Assistant in Grand Prairie, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026

Practice location Address checks out

355 W Westchester Pkwy
Grand Prairie, TX 75052-5284
Phone: (972) 263-3663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 215482 (TX)

Record details

NPI number1811844616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address2926 W Royal Ln Apt 3102, Irving, TX 75063-5746

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