Katelyn Anne Bosch, D.P.T.
Individual provider Active NPI Physical Therapist · Forest, VA
NPI 1033656384 · NPPES record last updated Feb 10, 2020
Key facts
- NPI
- 1033656384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305209627 (VA)
- Practice address
- 1155 Foxmoor PL
Forest, VA 24551-2320 - Phone
- (434) 665-0211
- NPI assigned
- Jan 25, 2017
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305209627 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | VA | ||
| Physical Therapist | 225100000X | 2305209627 | VA | Yes |
Addresses
Primary practice location
1155 Foxmoor PL
Forest, VA 24551-2320
Mailing address
1155 Foxmoor PL
Forest, VA 24551-2320
Phone (434) 665-0211
Other providers in Forest, VA
- Christopher Andrew Benton
- Christine E Billings
- Blue Current Psychiatry PLC
- Joshua Scott Bomar
- Recie Bomar
- Kelly Jo Bowles
- Jade Audrie Bowman
- Alexandra Elizabeth Bradsher
- Tahmina Haque Brady
- Dakari Branch
All providers in Forest, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.