Kerry Lynne Walsh, PT
Individual provider Active NPI Physical Therapist · Bellingham, MA
NPI 1497749634 · NPPES record last updated Sep 29, 2010
Key facts
- NPI
- 1497749634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19240 (MA)
- Practice address
- 40 North Main Street
Bellingham, MA 02019-0000 - Phone
- (508) 966-2717
- Fax
- (508) 966-2095
- NPI assigned
- Sep 2, 2005
- 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 |
|---|---|---|---|
| 00000978 | ME | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00000978 | ME | |
| Physical Therapist | 225100000X | 19240 | MA | Yes |
Addresses
Primary practice location
40 North Main Street
Bellingham, MA 02019-0000
Mailing address
40 North Main Street
Bellingham, MA 02019-0000
Phone (508) 966-2717
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All providers in Bellingham, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. 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.