Katelyn Myers

Individual provider Active NPI Physical Therapy Assistant · Boonsboro, MD

NPI 1043962392 · NPPES record last updated Jan 18, 2022

Key facts

NPI
1043962392
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A3881 (MD)
Practice address
8507 Mapleville Rd
Boonsboro, MD 21713-1818
Phone
(301) 733-6284
NPI assigned
Jan 18, 2022
Sex
Female
Sole proprietor
No

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
A3881MDMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A3881 MD Yes

Addresses

Primary practice location

8507 Mapleville Rd
Boonsboro, MD 21713-1818

Mailing address

11007 Welsh Run Rd
Greencastle, PA 17225-9327
Phone (717) 494-9161

Other providers in Boonsboro, MD

All providers in Boonsboro, MD · Physical Therapy Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.