Provider Demographics
NPI:1982286258
Name:MCNEFF, KATELIN MARIE (PTA)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:MARIE
Last Name:MCNEFF
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:KATELIN
Other - Middle Name:MARIE
Other - Last Name:HALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:151 LANGLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7533
Mailing Address - Country:US
Mailing Address - Phone:603-724-5357
Mailing Address - Fax:
Practice Address - Street 1:31 HOLLINGS DR
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NH
Practice Address - Zip Code:03303-7502
Practice Address - Country:US
Practice Address - Phone:603-724-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12492251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics