MEDICARE: MARY CURTIS KIRKPATRICK MCCRACKEN PT

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	225100000X	Physical Therapist	P8723	NC

General Provider Information

NPI Number	:	1316037476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY CURTIS KIRKPATRICK MCCRACKEN PT

Provider Business Mailing Address
First Line	:	90 E MAIN ST STE A
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-3030
Country	:	US
Telephone Number	:	828-631-3009
Fax Number	:	828-354-0209

Provider Business Practice Location Address
First Line	:	270 N HAYWOOD ST
Second Line	:
City	:	WAYNESVILLE
State	:	NC
Zip	:	28786-3748
Country	:	US
Telephone Number	:	828-550-3923
Fax Number	:	828-354-0209

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	10/23/2023

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