| Organization Name: | HEALING YOU THERAPY, PLLC |
| NPI Number: | 1043665748 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM KELLEY (OWNER) |
| Mailing Address: | 417 Racetrack Rd Nw Fort Walton Beach |
| State: | FL US |
| Postal Code: | 325474612 |
| Phone Number: | 8504610058 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2016 |
| NPI Last Update Date: | 04/30/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT7404 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |