Doctor Name: | TIFFANY L KELLETT |
NPI Number: | 1114290723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT013332 |
Business Practice Address: | 8094 E Market St Warren, OH - 444842258 |
Business Phone Number: | 3307299448 |
Business Fax Number: | 3307299450 |
Mailing Address: | 7 Christian Ave, HUBBARD |
State: | OH |
Postal Code: | 444252007 |
Phone Number: | 3308562476 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2012 |
NPI Last Update Date: | 01/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT013332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |