Individual
PROF. KATHY DEBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
103413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103413
MECHANO THERAPIST
TX
Enumeration date
03/02/2009
Last updated
05/04/2011
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