Kathleen Marie Drebick, LMT
Individual provider Active NPI Massage Therapist · Westville, NJ
NPI 1306142005 · NPPES record last updated Jan 28, 2011
Key facts
- NPI
- 1306142005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 26BT00234800 (NJ)
- Practice address
- 1308 Edgewood Ave
Westville, NJ 08093 - Phone
- (856) 465-1020
- Fax
- (856) 349-2067
- NPI assigned
- Jan 28, 2011
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26BT00234800 | NJ | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 26BT00234800 | NJ | Yes |
Addresses
Primary practice location
1308 Edgewood Ave
Westville, NJ 08093
Mailing address
P.O. Box 5264
Deptford, NJ 08096
Phone (856) 465-1020
Other providers in Westville, NJ
- Center for Independent Living of South Jersey, Inc.
- Timothy Chafin
- Lauren M. Cooper
- Dalesio and Associates, Inc.
- Victoria M Della Rocca
- John Steward Duco
- Elevate Physical Therapy and Sports Rehab
- Nicole Lynn English
- Evergreen Medical Associates
- Cheyanne Forgatch
All providers in Westville, NJ · Massage Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2011. 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.