Karen Boardley

Individual provider Active NPI Physical Therapy Assistant · Salem, NH

NPI 1023329653 · NPPES record last updated Jun 29, 2010

Key facts

NPI
1023329653
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A2080 (NC)
Practice address
2 Keewaydin Dr
Salem, NH 03079-2839
Phone
(800) 995-2673
Fax
(866) 420-1055
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A2080NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2080 NC Yes

Addresses

Primary practice location

2 Keewaydin Dr
Salem, NH 03079-2839

Mailing address

2 Keewaydin Dr
Salem, NH 03079-2839
Phone (800) 995-2673

Other providers in Salem, NH

All providers in Salem, NH · Physical Therapy Assistant in New Hampshire

Sources for this page

Verify at the official NPI Registry.