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NPI Code Detail

MEDICARE: MRS. KATHERINE DECKER MPT

MEDICARE: MRS. KATHERINE DECKER MPT
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 Therapist33694FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548203649
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHERINE DECKER MPT
Provider Business Mailing Address
First Line : 11 EMERALD CT
Second Line :
City : SATELLITE BEACH
State : FL
Zip : 32937-3921
Country : US
Telephone Number : 321-848-7281
Fax Number :
Provider Business Practice Location Address
First Line : 2040 HIGHWAY A1A STE 203
Second Line :
City : INDIAN HARBOUR BEACH
State : FL
Zip : 32937-3566
Country : US
Telephone Number : 321-773-8989
Fax Number : 321-773-8990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 06/12/2023

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Directions to “ MRS. KATHERINE DECKER MPT” Practice Location

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