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

MISS KELLY DERUVO, DPT

Active

MISS KELLY DERUVO, DPT is a Physical Therapy Assistant healthcare provider located in KINGSTON, New Hampshire. NPI 1700963477 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · KINGSTON, NH

Registration Details

NPI Number
1700963477
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2006 (19.756605200358 yrs)
Last Updated
Oct 18, 2019
Licenses
1223120 (TX)
026447-1 (NY)
4194 (NH)

Practice Information

Address
148 MAIN ST
KINGSTON, NH, 038483222
Browse NH providers · Browse ZIP 03848
Phone
5165941212
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in KINGSTON, NH

Name Credential NPI
LISA M ROY 1730612011
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.