Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katelyn Jae Boone

Individual provider Physical Therapy Assistant · NPI 1912475005

Katelyn Jae Boone is a Physical Therapy Assistant in Davie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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Practice location Address checks out

4217 SW 61st Ave
Davie, FL 33314-3614
Phone: (972) 977-8489
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 28959 (FL)

Record details

NPI number1912475005
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 6, 2018
Last updated in NPPESNovember 6, 2018
Mailing address4217 Sw 61st Ave, Davie, FL 33314-3614

Other providers in Davie