| Doctor Name: | MATTHEW DAVID KELLAR |
| NPI Number: | 1013256643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., CERT. M.D.T. |
| License Number: | 3361 |
| Business Practice Address: | 2142 W Broad St Bldg 100, Ste 200 Athens, GA - 306063506 |
| Business Phone Number: | 7065486881 |
| Business Fax Number: | 7065460821 |
| Mailing Address: | 2142 W Broad St, Bldg 100, Ste 200 ATHENS |
| State: | GA |
| Postal Code: | 306063506 |
| Phone Number: | 7065486881 |
| Fax Number: | 7065460821 |
| NPI Enumeration Date: | 02/01/2013 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| 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 |