Doctor Name: | MRS. KELLIE CHRISTINA ELMORE |
NPI Number: | 1396127072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 102166 |
Business Practice Address: | 1910 Nursing Home Rd Owensville, MO - 650662844 |
Business Phone Number: | 5734374055 |
Business Fax Number: | |
Mailing Address: | 1769 Fawn Cir, PACIFIC |
State: | MO |
Postal Code: | 630694456 |
Phone Number: | 6362712009 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 102166 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |