Active NPIIndividual providerSole proprietor

Craig Kettenring

Physical Therapist in Pembroke, Massachusetts

NPI Number1659563880
Practice location
927 Pembroke Woods Dr, Pembroke, MA 02359-4966
Fax
—
Last updated
August 22, 2007

Craig Kettenring is a Physical Therapist based in Pembroke, MA. Craig Kettenring practices in Pembroke, MA. The NPI Number for Craig Kettenring is 1659563880 and holds a License No. 17771 (MA). The current practice location address for Craig Kettenring is 927 Pembroke Woods Dr, Pembroke, MA 02359-4966 and can be reached out via phone at 781-924-1359.

Provider Profile Details

NPI Number
1659563880
Provider Name
Craig Kettenring
Provider Entity Type
Individual
Gender
Male
Address
927 Pembroke Woods Dr, Pembroke, MA 02359-4966
Phone Number
781-924-1359
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 12, 2007
Last Update Date
August 22, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
927 Pembroke Woods Dr
Pembroke, MA 02359-4966
Zip
02359-4966
Phone Number
781-924-1359
Pembroke, MA 02359Get directions →

Provider Business Mailing Address Details

Address
927 Pembroke Woods Dr
Pembroke, MA 02359-4966
City
Pembroke
State
MA
Zip
02359-4966
Phone Number
781-924-1359

License Information

License Number
17771
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 Craig Kettenring?

The NPI number of Craig Kettenring is 1659563880. It was assigned on August 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Craig Kettenring?

Craig Kettenring is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 17771.

Where does Craig Kettenring practice?

The practice location is 927 Pembroke Woods Dr, Pembroke, MA 02359-4966. The office can be reached at 781-924-1359 (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 1659563880 directly on the NPPES registry website.

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