Doctor Name: | MRS. KELLY ANN GERL |
NPI Number: | 1083646061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 10212024 |
Business Practice Address: | 3921 30th Ave Suite A Kenosha, WI - 53144 |
Business Phone Number: | 2629250311 |
Business Fax Number: | 2626522370 |
Mailing Address: | 3601 30th Ave, Suite 103 KENOSHA |
State: | WI |
Postal Code: | 53144 |
Phone Number: | 2626570222 |
Fax Number: | 2626577190 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 10/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 10212024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |