Mr. Maikutlo B Kebaetse, PHD, PT
Physical Therapist in Paulsboro, New Jersey
1326190653- Practice location
- 541 Mantua Ave, Paulsboro, NJ 08066-1178
- Phone
- 185-622-4000
- Fax
- 856-224-0466
- Last updated
- July 9, 2007
Maikutlo B Kebaetse is a Physical Therapist based in Paulsboro, NJ. Maikutlo B Kebaetse practices in Paulsboro, NJ and has the professional credentials of PHD, PT. The NPI Number for Maikutlo B Kebaetse is 1326190653 and holds a License No. 40QA00685900 (NJ). The current practice location address for Maikutlo B Kebaetse is 541 Mantua Ave, Paulsboro, NJ 08066-1178 and can be reached out via phone at 185-622-4000 and via fax at 856-224-0466.
Provider Profile Details
- NPI Number
- 1326190653
- Provider Name
- Maikutlo B Kebaetse
- Credential
- PHD, PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 541 Mantua Ave, Paulsboro, NJ 08066-1178
- Phone Number
- 185-622-4000
- Fax Number
- 856-224-0466
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 17, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 541 Mantua Ave
Paulsboro, NJ 08066-1178 - City
- Paulsboro
- State
- New Jersey
- Zip
- 08066-1178
- Phone Number
- 185-622-4000
- Fax Number
- 856-224-0466
Provider Business Mailing Address Details
- Address
- Po Box 277
Paulsboro, NJ 08066-0277 - City
- Paulsboro
- State
- NJ
- Zip
- 08066-0277
- Phone Number
- 185-622-0400
- Fax Number
- 856-224-0466
License Information
- License Number
- 40QA00685900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Maikutlo B Kebaetse, PHD, PT?
The NPI number of Mr. Maikutlo B Kebaetse, PHD, PT is 1326190653. It was assigned on January 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Maikutlo B Kebaetse, PHD, PT?
Mr. Maikutlo B Kebaetse, PHD, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00685900.
Where does Mr. Maikutlo B Kebaetse, PHD, PT practice?
The practice location is 541 Mantua Ave, Paulsboro, NJ 08066-1178. The office can be reached at 185-622-4000 (phone) or 856-224-0466 (fax).
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 1326190653 directly on the NPPES registry website.