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NPI Code Detail

MEDICARE: MRS. ERIN LYNN KETHLEY MPT

MEDICARE:  MRS. ERIN LYNN KETHLEY  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 Therapist1134807TX

General Provider Information

NPI Number : 1881923167
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIN LYNN KETHLEY MPT
Provider Business Mailing Address
First Line : PO BOX 562
Second Line :
City : DRIPPING SPRINGS
State : TX
Zip : 78620-0562
Country : US
Telephone Number : 512-858-5191
Fax Number : 512-858-5194
Provider Business Practice Location Address
First Line : 400 W HWY 290
Second Line : SUITE B104
City : DRIPPING SPRINGS
State : TX
Zip : 78620-4379
Country : US
Telephone Number : 512-858-5191
Fax Number : 512-858-5194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2009
Last Update Date : 03/06/2023

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Directions to “ MRS. ERIN LYNN KETHLEY MPT” Practice Location

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