Kephart, Marisa
Kephart, Marisa is an sole proprietor health care provider with primary practice located at 75 E Derry Rd , Hershey PA 17033-2705. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kephart, Marisa can be contacted via phone (717) 298-6245.Contact Information
Primary practice address
75 E Derry Rd
Hershey PA 17033-2705
Phone: (717) 298-6245
Fax: (717) 298-7774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT011667L | Pennsylvania |
Profile Details
| NPI number | 1710929021 |
|---|---|
| LBN Legal business name | Kephart, Marisa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710929021 | NPPES |
| Pennsylvania | MEDICAID | 0018567660009 |
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