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

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