MEDICARE: MS. JUNTREE KALOF PTA

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
1	225200000X	Physical Therapy Assistant	2125600	TX

General Provider Information

NPI Number	:	1093912263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUNTREE KALOF PTA

Provider Business Mailing Address
First Line	:	5026 MILITARY DRIVE
Second Line	:	BLDG 5026
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5026 MILITARY DRIVE
Second Line	:	BLDG 5026
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257
Country	:	US
Telephone Number	:	210-539-1052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	05/28/2025

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