Doctor Name: | MS. NANCY RUTH KYSELA |
NPI Number: | 1326258765 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 21288 |
Business Practice Address: | 4075 A1a S Suite 105 St Augustine, FL - 320806773 |
Business Phone Number: | 9044712999 |
Business Fax Number: | |
Mailing Address: | 108 Oak St, NEPTUNE BEACH |
State: | FL |
Postal Code: | 322666032 |
Phone Number: | 9045340433 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21288 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |