Stephanie Lynn Mcketa in Indiana - Physical Therapist

Stephanie Lynn Mcketa - NPI 1457441149

Stephanie Lynn Mcketa is a Physical Therapist in Indiana, Pennsylvania. Stephanie Lynn Mcketa practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stephanie Lynn Mcketa is 1457441149. The last update date is 2007-07-08.

Stephanie Lynn Mcketa's current location address is 1265 Wayne Ave, Indiana, Pennsylvania. You can contact this provider via phone number 7244652676 and fax number 7244650193. The mailing address for Stephanie Lynn Mcketa is 1265 Wayne Ave, Indiana, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie Lynn Mcketa
Address 1265 Wayne Ave, Indiana, Pennsylvania
Phone Number 7244652676
Fax Number 7244650193
Sole Proprietor N
Credentials D.P.T.

NPI Number Detail

NPI Number 1457441149
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1265 Wayne Ave
City Indiana
State Pennsylvania (PA)
Post Code 157013501
Phone Number 7244652676
Fax Number 7244650193

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT015513
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7636368 PA AETNA
189730 PA HEALTH AMER/HEALTH ASSUR.
MC1387126 PA HIGHMARK BLUE SHIELD

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FAQs about Stephanie Lynn Mcketa

What is the unique provider identifier assigned to Stephanie Lynn Mcketa?

The Stephanie Lynn Mcketa has been issued the NPI (National Provider Identifier) 1457441149 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 Stephanie Lynn Mcketa?

The Stephanie Lynn Mcketa is physically situated at 1265 Wayne Ave, in the city of Indiana, state of PA, with the postal code 157013501.

What is Stephanie Lynn Mcketa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephanie Lynn Mcketa is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1457441149 to Stephanie Lynn Mcketa?

The Centers for Medicare & Medicaid Services assigned the 1457441149 to Stephanie Lynn Mcketa on 2006-10-13.

When was the information regarding Stephanie Lynn Mcketa most recently updated?

The details pertaining to the Stephanie Lynn Mcketa, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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