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NPI Code Detail

MEDICARE: KERRI S MARKS PT

MEDICARE:   KERRI S MARKS  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
1225100000XPhysical Therapist008949OH

General Provider Information

NPI Number : 1376973982
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRI S MARKS PT
Provider Business Mailing Address
First Line : PO BOX 50
Second Line :
City : PATASKALA
State : OH
Zip : 43062-0050
Country : US
Telephone Number : 740-892-3675
Fax Number : 740-892-9582
Provider Business Practice Location Address
First Line : 8200 HAZELTON ETNA RD SW
Second Line : STE 300
City : ETNA
State : OH
Zip : 43062-9630
Country : US
Telephone Number : 740-892-3675
Fax Number : 740-892-9582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2013
Last Update Date : 11/21/2013

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Directions to “ KERRI S MARKS PT” Practice Location

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