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

Mary Tracey Alyson Kavanaugh, PT

Individual provider Physical Therapist · NPI 1558688010

Mary Tracey Alyson Kavanaugh, PT is a Physical Therapist in Huntersville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

14330 Oakhill Park Ln Ste 115
Huntersville, NC 28078-3479
Phone: (704) 316-1280
Fax: (704) 316-1266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10030 Gilead Rd, Huntersville, NC 28078-7545 — (704) 316-5500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P9204 (NC)

Record details

NPI number1558688010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 23, 2010
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

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