Doctor Name: | DAVID M KELLEY |
NPI Number: | 1053633305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 18524 |
Business Practice Address: | 31 Williamstown Road Lanesboro, MA - 01237 |
Business Phone Number: | 4134427007 |
Business Fax Number: | 4134427011 |
Mailing Address: | 31 Williamstown Road, LANESBORO |
State: | MA |
Postal Code: | 01237 |
Phone Number: | 4134427007 |
Fax Number: | 4134427011 |
NPI Enumeration Date: | 02/26/2010 |
NPI Last Update Date: | 02/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 18524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |