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NPI Code Detail

MEDICARE: KAITLYN DOUCAKIS DPT, PT

MEDICARE: KAITLYN DOUCAKIS DPT, 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 Therapist24452MA

General Provider Information

NPI Number : 1528616869
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN DOUCAKIS DPT, PT
Provider Business Mailing Address
First Line : 2 WASHINGTON ST
Second Line :
City : MELROSE
State : MA
Zip : 02176-6055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 WASHINGTON ST
Second Line :
City : MELROSE
State : MA
Zip : 02176-6055
Country : US
Telephone Number : 781-586-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2019
Last Update Date : 01/31/2024

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Directions to “ KAITLYN DOUCAKIS DPT, PT” Practice Location

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