Amanda Marie Kelly PT

NPI 1780859637 - Physical Therapist - 225100000X

NPI Details
NPI 1780859637
Gender Female
Enumeration Date 04/22/2008
Last Updated 04/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6501 N SHERIDAN RD
PEORIA IL, 61614-2932, US
Phone (309) 692-8110
Fax
Business Location
6501 N SHERIDAN RD
PEORIA IL, 61614-2932, US
Phone (309) 692-8110
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070012521
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According to our database, Mrs. Amanda Marie Kelly PT NPI is 1780859637, taxonomy code is 225100000X and license number is 070012521, license state is located at Illinois. Amanda Marie Kelly PT physically located at 6501 N Sheridan Rd, Peoria IL, 61614-2932. NPI Number Amanda Marie Kelly PT has the Individual type.

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1780859637 NPI number is provided on an as is basis without warranty of any kind. 1780859637 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Marie Kelly PT are for informational purposes only.