Kenneth Blake Debord in Reidsville - Physical Therapy Assistant

Kenneth Blake Debord - NPI 1235255738

Kenneth Blake Debord is a Physical Therapy Assistant in Reidsville, North Carolina. Kenneth Blake Debord practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Kenneth Blake Debord is 1235255738. The last update date is 2007-07-08.

Kenneth Blake Debord's current location address is 618 S Main St, Reidsville, North Carolina. You can contact this provider via phone number 3369514557. The mailing address for Kenneth Blake Debord is 618 S Main St, Reidsville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Blake Debord
Address 618 S Main St, Reidsville, North Carolina
Phone Number 3369514557
Fax Number
Sole Proprietor N
Credentials PTA

NPI Number Detail

NPI Number 1235255738
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 618 S Main St
City Reidsville
State North Carolina (NC)
Post Code 273205020
Phone Number 3369514557
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 2226
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Kenneth Blake Debord

What is the unique identifier code issued to Kenneth Blake Debord by the Centers for Medicare & Medicaid Services?

The Kenneth Blake Debord has been assigned the NPI (National Provider Identifier) 1235255738. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kenneth Blake Debord is located?

The Kenneth Blake Debord is situated at the following address: 618 S Main St, Reidsville, NC, 273205020.

What is Kenneth Blake Debord's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Blake Debord's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did the Kenneth Blake Debord receive its 1235255738 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth Blake Debord was assigned its 1235255738 by the Centers for Medicare & Medicaid Services on 2007-03-22.

When was the information regarding Kenneth Blake Debord most recently updated?

The details pertaining to the Kenneth Blake Debord, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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