Provider Demographics
NPI:1093284184
Name:TURMENNE, KERI NICOLE (DPT)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:NICOLE
Last Name:TURMENNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:NICOLE
Other - Last Name:DONOVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:703 GRANITE ST STE 3
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-5350
Mailing Address - Country:US
Mailing Address - Phone:781-961-3370
Mailing Address - Fax:781-961-1291
Practice Address - Street 1:173 ESSEX ST
Practice Address - Street 2:
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1150
Practice Address - Country:US
Practice Address - Phone:781-586-0550
Practice Address - Fax:781-586-0125
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23990225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist