Provider Demographics
NPI:1598351561
Name:INSKEEP, DEBORAH CAROL (PT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:CAROL
Last Name:INSKEEP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:CAROL
Other - Last Name:BELK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:9200 COVEY HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7998
Mailing Address - Country:US
Mailing Address - Phone:704-965-5014
Mailing Address - Fax:
Practice Address - Street 1:9200 COVEY HOLLOW CT
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-7998
Practice Address - Country:US
Practice Address - Phone:704-965-5014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-14
Last Update Date:2021-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP7356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist