| Doctor Name: | DR. CASEY KELLOGG |
| NPI Number: | 1063820157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT29479 |
| Business Practice Address: | 2100 E Hallandale Beach Blvd Suite 400 Hallandale Beach, FL - 330093765 |
| Business Phone Number: | 7867632272 |
| Business Fax Number: | 7863325386 |
| Mailing Address: | 1835 E Hallandale Beach Blvd, #560 HALLANDALE BEACH |
| State: | FL |
| Postal Code: | 330094619 |
| Phone Number: | 7867632272 |
| Fax Number: | 7863325386 |
| NPI Enumeration Date: | 08/01/2014 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT29479 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |