Provider Demographics
NPI:1497843551
Name:BESMEHN, KERRY JAN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:JAN
Last Name:BESMEHN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:10439 N BLANEY AVE
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2333
Mailing Address - Country:US
Mailing Address - Phone:408-257-7063
Mailing Address - Fax:
Practice Address - Street 1:5150 GRAVES AVE
Practice Address - Street 2:SUITE 11 D
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5013
Practice Address - Country:US
Practice Address - Phone:408-253-4211
Practice Address - Fax:408-253-0915
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT7080225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist