Brenda Kay Kelley PTA

NPI 1063605657 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1063605657
Gender Female
Enumeration Date 08/27/2007
Last Updated 08/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1408 E HARRISON ST
KIRKSVILLE MO, 63501-3242, US
Phone (660) 349-0868
Fax
Business Location
1408 E HARRISON ST
KIRKSVILLE MO, 63501-3242, US
Phone (660) 349-0868
Fax
Toxanomy
Taxonomy Code 225200000X
License State Missouri
License Number 117726
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According to our database, Brenda Kay Kelley PTA NPI is 1063605657, taxonomy code is 225200000X and license number is 117726, license state is located at Missouri. Brenda Kay Kelley PTA physically located at 1408 E Harrison St, Kirksville MO, 63501-3242. NPI Number Brenda Kay Kelley PTA has the Individual type.

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1063605657 NPI number is provided on an as is basis without warranty of any kind. 1063605657 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Kay Kelley PTA are for informational purposes only.