Kelly Shawn Deboom in San Antonio - Physical Therapist
Kelly Shawn Deboom - NPI 1629101761
Kelly Shawn Deboom is a Physical Therapist in San Antonio, Texas. Kelly Shawn Deboom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly Shawn Deboom is 1629101761. The last update date is 2007-07-08.
Kelly Shawn Deboom's current location address is 233 Lindell Pl, San Antonio, Texas. You can contact this provider via phone number 2107328408 and fax number 2102970459. The mailing address for Kelly Shawn Deboom is 233 Lindell Pl, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Shawn Deboom |
|---|---|
| Address | 233 Lindell Pl, San Antonio, Texas |
| Phone Number | 2107328408 |
| Fax Number | 2102970459 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1629101761 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 233 Lindell Pl |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782123110 |
| Phone Number | 2107328408 |
| Fax Number | 2102970459 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 1099570 |
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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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What is the unique provider identifier assigned to Kelly Shawn Deboom?
The Kelly Shawn Deboom has been issued the NPI (National Provider Identifier) 1629101761 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelly Shawn Deboom's facilities are situated?
The facilities of Kelly Shawn Deboom are physically located at the following address: 233 Lindell Pl, San Antonio, TX, 782123110.
What is the area of specialization for Kelly Shawn Deboom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Shawn Deboom is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
When was the Kelly Shawn Deboom's 1629101761 issued?
The Kelly Shawn Deboom's 1629101761 was issued on 2007-03-14.
As of what date were the Kelly Shawn Deboom's details last updated?
The information pertaining to the Kelly Shawn Deboom, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA