Provider Demographics
NPI:1881648137
Name:HEALY, DEBRA (MSPT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:HEALY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 OLD DANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NH
Mailing Address - Zip Code:03833-6122
Mailing Address - Country:US
Mailing Address - Phone:603-686-2105
Mailing Address - Fax:
Practice Address - Street 1:8 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4806
Practice Address - Country:US
Practice Address - Phone:603-778-0531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT1966225100000X
MA10310225100000X
NH2402225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA10310OtherPT LICENSE
NH2402OtherPT LICENSE
MEPT1966OtherPT LICENSE