Active NPIIndividual provider

Kendellynn D Cavanaugh Gagne, MSPT

Physical Therapist in Bourne, Massachusetts

NPI Number1366617573
Practice location
1 Technology Park Dr, Suite A, Bourne, MA 02532-8336
Fax
—
Last updated
April 29, 2008

Kendellynn Donna Cavanaugh Gagne is a Physical Therapist based in Bourne, MA. Kendellynn Donna Cavanaugh Gagne practices in Bourne, MA and has the professional credentials of MSPT. The NPI Number for Kendellynn Donna Cavanaugh Gagne is 1366617573 and holds a License No. 15268 (MA). The current practice location address for Kendellynn Donna Cavanaugh Gagne is 1 Technology Park Dr, Suite A, Bourne, MA 02532-8336 and can be reached out via phone at 508-743-0465.

Provider Profile Details

NPI Number
1366617573
Provider Name
Kendellynn Donna Cavanaugh Gagne
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
1 Technology Park Dr, Suite A, Bourne, MA 02532-8336
Phone Number
508-743-0465
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2008
Last Update Date
April 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Technology Park Dr
Suite A
Bourne, MA 02532-8336
City
Bourne
Zip
02532-8336
Phone Number
508-743-0465
Bourne, MA 02532Get directions →

Provider Business Mailing Address Details

Address
35 Spinnaker Ln
Pocasset, MA 02559-1911
City
Pocasset
State
MA
Zip
02559-1911
Phone Number
508-563-5412

License Information

License Number
15268
License State
MA
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 Kendellynn D Cavanaugh Gagne, MSPT?

The NPI number of Kendellynn D Cavanaugh Gagne, MSPT is 1366617573. It was assigned on April 29, 2008 and is currently active in the NPPES registry.

What is the specialty of Kendellynn D Cavanaugh Gagne, MSPT?

Kendellynn D Cavanaugh Gagne, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 15268.

Where does Kendellynn D Cavanaugh Gagne, MSPT practice?

The practice location is 1 Technology Park Dr, Suite A, Bourne, MA 02532-8336. The office can be reached at 508-743-0465 (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 1366617573 directly on the NPPES registry website.

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