DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KETLY C THELUSMA, RRT

Active

KETLY C THELUSMA, RRT is a 2279H0200X healthcare provider located in PORT ST LUCIE, Florida. NPI 1083940225 is currently active in the NPPES registry. Verify at CMS.

2279H0200X · PORT ST LUCIE, FL

Registration Details

NPI Number
1083940225
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2009 (17.018320704502 yrs)
Last Updated
Oct 22, 2009
License
10007 (FL)

Practice Information

Address
2431 SW WEBSTER LN
PORT ST LUCIE, FL, 349535753
Browse FL providers · Browse ZIP 34953
Phone
7722404280
Primary Specialty
2279H0200X
2279H0200X

Other 2279H0200X Providers in PORT ST LUCIE, FL

Name Credential NPI
MS. ROCHELLE SCAVELLA RRT 1801960869
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.