Debra Sue Debuck, PT
Individual provider Active NPI Physical Therapist · Delavan, WI
NPI 1669683306 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1669683306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1719-024 (WI)
- Practice address
- N6139 County Road P
Delavan, WI 53115-2703 - Phone
- (262) 728-9061
- Fax
- (262) 728-1990
- NPI assigned
- May 24, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1719-024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1719-024 | WI | Yes |
Addresses
Primary practice location
N6139 County Road P
Delavan, WI 53115-2703
Mailing address
N6139 County Road P
Delavan, WI 53115-2703
Phone (262) 728-9061
Other providers in Delavan, WI
- Kendra J Damaschke
- Susan E Davis
- Melissa Day
- Dean Health Systems, Inc
- Gary Dean
- Delavan Chiropractic Center,LTD
- Delavan Darien School
- Delavan Family Dental
- Delavan Family Eye Care
- Delavan Rescue Squad Inc
All providers in Delavan, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.