Doctor Name: | KELLEY M MCGAUGHEY |
NPI Number: | 1003940172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 2011000807 |
Business Practice Address: | 15425 Manchester Rd Ste.28 Ballwin, MO - 630113077 |
Business Phone Number: | 6362206969 |
Business Fax Number: | 6362206973 |
Mailing Address: | 15425 Manchester Rd, Ste. 28 BALLWIN |
State: | MO |
Postal Code: | 630113077 |
Phone Number: | 6362206969 |
Fax Number: | 6362206973 |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2011000807 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |