Active NPIIndividual providerSole proprietor

Mary Katherine M Lake, PT

Physical Therapist in Peterborough, New Hampshire

NPI Number1700012168
Practice location
458 Old Street RD, Peterborough, NH 03458-1265
Fax
603-924-4634
Last updated
May 29, 2009

Mary Katherine M Lake is a Physical Therapist based in Peterborough, NH. Mary Katherine M Lake practices in Peterborough, NH and has the professional credentials of PT. The NPI Number for Mary Katherine M Lake is 1700012168 and holds a License No. 2925 (NH). The current practice location address for Mary Katherine M Lake is 458 Old Street RD, Peterborough, NH 03458-1265 and can be reached out via phone at 603-924-4635 and via fax at 603-924-4634.

Provider Profile Details

NPI Number
1700012168
Provider Name
Mary Katherine M Lake
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
458 Old Street RD, Peterborough, NH 03458-1265
Phone Number
603-924-4635
Fax Number
603-924-4634
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Other Names
-- Mary Kaye Lake, PT (Other Name)
Provider Enumeration Date
May 29, 2009
Last Update Date
May 29, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
458 Old Street RD
Peterborough, NH 03458-1265
Zip
03458-1265
Phone Number
603-924-4635
Fax Number
603-924-4634
Peterborough, NH 03458Get directions →

Provider Business Mailing Address Details

Address
458 Old Street RD
Peterborough, NH 03458-1265
City
Peterborough
State
NH
Zip
03458-1265
Phone Number
603-924-4635
Fax Number
603-924-4634

License Information

License Number
2925
License State
NH
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 Mary Katherine M Lake, PT?

The NPI number of Mary Katherine M Lake, PT is 1700012168. It was assigned on May 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Mary Katherine M Lake, PT?

Mary Katherine M Lake, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NH under license number 2925.

Where does Mary Katherine M Lake, PT practice?

The practice location is 458 Old Street RD, Peterborough, NH 03458-1265. The office can be reached at 603-924-4635 (phone) or 603-924-4634 (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 1700012168 directly on the NPPES registry website.

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