Stacy Ann Kennelly MA PT

  • NPI 1528261989
According to our database, the NPI number for Stacy Ann Kennelly MA PT is 1528261989 and activated since 16 years ago. Stacy Ann Kennelly MA PT is an individual provider who specializes in Physical Therapist, and the primary practice location is 1612 N 37th Street, Superior, WI 54880. You can also contact Stacy Ann Kennelly MA PT via telephone number is (715) 392-5144. Provider NPI information was last updated on 07/08/2007.

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Overview of Stacy Ann Kennelly MA PT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/06/2007
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5371
  • License State: MN

Provider Mailing Address

  • Address: 2877 Northern Drive
    Superior, WI 54880
  • Phone: 715-392-4965
  • Fax:

Provider Practice Location

  • Address: 1612 N 37th Street
    Superior, WI 54880
  • Phone: 715-392-5144
  • Fax:

Scope of Practice

  • Taxonomy Code: 225100000X
  • Specialty: Physical Therapist
  • License Number: 5371
  • License State: MN
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 40382400
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Stacy Ann Kennelly MA PT?
  • A: The npi number for Stacy Ann Kennelly MA PT is 1528261989.
  • Q: What are Stacy Ann Kennelly MA PT's specialties?
  • A: Stacy Ann Kennelly MA PT's specialties are Physical Therapist and different specialities.
  • Q: What is the medical license for Stacy Ann Kennelly MA PT?
  • A: The medical license number for Stacy Ann Kennelly MA PT is 5371 and issued in MN in USA.
  • Q: Where is Stacy Ann Kennelly MA PT practice location?
  • A: Stacy Ann Kennelly MA PT is practicing at 1612 N 37th Street, Superior, WI 54880.
  • Q: How to contact Stacy Ann Kennelly MA PT?
  • A: You can contact Stacy Ann Kennelly MA PT via 715-392-5144.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
Dental Assistant
Dental Public Health
Optometrist
Occupational Health
Sports Physician
Mental Health
Physical Therapist
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Medical Technologist
Ph.D. Medical Genetics
Military Health Care Provider
Clinical Nurse Specialist
Family Health
Nurse Massage Therapist
Sports Medicine
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