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NPI Code Detail

MEDICARE: KIERSTEN MARSHMAN DPT

MEDICARE: KIERSTEN MARSHMAN DPT
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 Therapist4892NH
2225100000XPhysical Therapist27202MA

General Provider Information

NPI Number : 1760144786
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIERSTEN MARSHMAN DPT
Provider Business Mailing Address
First Line : 2 BARTLETT RD
Second Line :
City : STRATHAM
State : NH
Zip : 03885-2465
Country : US
Telephone Number : 603-502-7549
Fax Number :
Provider Business Practice Location Address
First Line : 159 N BROADWAY STE 2A
Second Line :
City : SALEM
State : NH
Zip : 03079-2136
Country : US
Telephone Number : 603-898-9947
Fax Number : 603-898-9949
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 10/17/2023

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