MEDICARE: DR. KRISTIN ELIZABETH TERKELSEN 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
1	225100000X	Physical Therapist	15460	MA

General Provider Information

NPI Number	:	1790863918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN ELIZABETH TERKELSEN DPT

Provider Business Mailing Address
First Line	:	1663 FALMOUTH RD
Second Line	:
City	:	CENTERVILLE
State	:	MA
Zip	:	02632-2944
Country	:	US
Telephone Number	:	508-775-9200
Fax Number	:	508-815-4929

Provider Business Practice Location Address
First Line	:	1663 FALMOUTH RD
Second Line	:
City	:	CENTERVILLE
State	:	MA
Zip	:	02632-2944
Country	:	US
Telephone Number	:	508-775-9200
Fax Number	:	508-825-4919

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	11/21/2021

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