Maikutlo B Kebaetse in Paulsboro - Physical Therapist
Maikutlo B Kebaetse - NPI 1326190653
Maikutlo B Kebaetse is a Physical Therapist in Paulsboro, New Jersey. Maikutlo B Kebaetse practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Maikutlo B Kebaetse is 1326190653. The last update date is 2007-07-09.
Maikutlo B Kebaetse's current location address is 541 Mantua Ave, Paulsboro, New Jersey. You can contact this provider via phone number 1856224000 and fax number 8562240466. The mailing address for Maikutlo B Kebaetse is 541 Mantua Ave, Paulsboro, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maikutlo B Kebaetse |
|---|---|
| Address | 541 Mantua Ave, Paulsboro, New Jersey |
| Phone Number | 1856224000 |
| Fax Number | 8562240466 |
| Sole Proprietor | N |
| Credentials | PH.D, P.T. |
NPI Number Detail
| NPI Number | 1326190653 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 541 Mantua Ave |
|---|---|
| City | Paulsboro |
| State | New Jersey (NJ) |
| Post Code | 80661178 |
| Phone Number | 1856224000 |
| Fax Number | 8562240466 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 40QA00685900 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2410669000 | NJ | AMERIHEALTH GROUP ID | |
| 2410631000 | NJ | AMERIJEALTH IND. ID# |
Post Comment/ Review Below
What is the unique provider identifier assigned to Maikutlo B Kebaetse?
The Maikutlo B Kebaetse has been issued the NPI (National Provider Identifier) 1326190653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Maikutlo B Kebaetse?
The Maikutlo B Kebaetse is physically situated at 541 Mantua Ave, in the city of Paulsboro, state of NJ, with the postal code 80661178.
What is Maikutlo B Kebaetse's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maikutlo B Kebaetse's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326190653 to Maikutlo B Kebaetse?
The Centers for Medicare & Medicaid Services assigned the 1326190653 to Maikutlo B Kebaetse on 2007-01-17.
As of what date were the Maikutlo B Kebaetse's details last updated?
The information pertaining to the Maikutlo B Kebaetse, including its address, specialty, and other details, was most recently updated on 2007-07-09.