Dr Keith W Hallbourg, is a
Physical Therapist based in Pepperell, Massachusetts. Dr Keith W Hallbourg is licensed to practice in Massachusetts (license number 13106) and his current practice location is
68a Heald St, Pepperell, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(603) 305-6452.
NPI number for Dr Keith W Hallbourg is 1104099738 and his current mailing address is 68a Heald St, Pepperell, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104099738.
Healthcare Provider's Profile
Full Name | Dr Keith W Hallbourg |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 68a Heald St, Pepperell, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104099738
- Provider Enumeration Date: 04/03/2008
- Last Update Date: 04/03/2008
Medical Identifiers
Medical identifiers for Dr Keith W Hallbourg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104099738 | NPI | - | NPPES |
13106 | Other | MA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 13106 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith W Hallbourg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Keith W Hallbourg, 68a Heald St, Pepperell, MA 01463-1248 Ph: (603) 305-6452 | Dr Keith W Hallbourg, 68a Heald St, Pepperell, MA 01463-1248 Ph: (603) 305-6452 |
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