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NPI Code Detail

MEDICARE: DR. CAMILLA RAE KOERBER DPT

MEDICARE:  DR. CAMILLA RAE KOERBER  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6159AZ
2225100000XPhysical TherapistCP018997TKY
3225100000XPhysical Therapist05015099AIN

General Provider Information

NPI Number : 1043299241
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAMILLA RAE KOERBER DPT
Provider Business Mailing Address
First Line : 5947 SAINT MARYS RD
Second Line :
City : FLOYDS KNOBS
State : IN
Zip : 47119-9127
Country : US
Telephone Number : 480-206-1978
Fax Number :
Provider Business Practice Location Address
First Line : 3626 GRANT LINE RD STE 105
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-2399
Country : US
Telephone Number : 812-944-1377
Fax Number : 812-944-1458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 04/06/2026

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Directions to “ DR. CAMILLA RAE KOERBER DPT” Practice Location

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