Provider Demographics
NPI:1730429531
Name:BRISCOE, KERRY (DPT)
Entity type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:
Other - Last Name:CHEADLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 CLEAVER FARM RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1630
Mailing Address - Country:US
Mailing Address - Phone:302-449-2048
Mailing Address - Fax:302-449-2047
Practice Address - Street 1:200 CLEAVER FARM RD
Practice Address - Street 2:SUITE 400
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1630
Practice Address - Country:US
Practice Address - Phone:302-449-2048
Practice Address - Fax:302-449-2047
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist