Active NPIIndividual provider

Mckenzie G Distefano

Physical Therapist in Wenham, Massachusetts

NPI Number1225462559
Practice location
255 Grapevine RD, Wenham, MA 01984-1813
Fax
—
Last updated
February 17, 2016

Mckenzie Garvey Distefano is a Physical Therapist based in Wenham, MA. Mckenzie Garvey Distefano practices in Wenham, MA. The NPI Number for Mckenzie Garvey Distefano is 1225462559. The current practice location address for Mckenzie Garvey Distefano is 255 Grapevine RD, Wenham, MA 01984-1813 and can be reached out via phone at 978-867-4095.

Provider Profile Details

NPI Number
1225462559
Provider Name
Mckenzie Garvey Distefano
Provider Entity Type
Individual
Gender
Female
Address
255 Grapevine RD, Wenham, MA 01984-1813
Phone Number
978-867-4095
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2013
Last Update Date
February 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Grapevine RD
Wenham, MA 01984-1813
City
Wenham
Zip
01984-1813
Phone Number
978-867-4095
Wenham, MA 01984Get directions →

Provider Business Mailing Address Details

Address
255 Grapevine RD
Wenham, MA 01984-1813
City
Wenham
State
MA
Zip
01984-1813
Phone Number
978-867-4095

License Information

Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mckenzie G Distefano?

The NPI number of Mckenzie G Distefano is 1225462559. It was assigned on August 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Mckenzie G Distefano?

Mckenzie G Distefano is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Mckenzie G Distefano practice?

The practice location is 255 Grapevine RD, Wenham, MA 01984-1813. The office can be reached at 978-867-4095 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225462559 directly on the NPPES registry website.

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