Doctor Name: | JENNIFER MARIE KELLY |
NPI Number: | 1417931817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 4483 |
Business Practice Address: | 3831 Piper St Suite S-320 Anchorage, AK - 995084672 |
Business Phone Number: | 9075618610 |
Business Fax Number: | 9075610214 |
Mailing Address: | 3831 Piper St, Suite S-320 ANCHORAGE |
State: | AK |
Postal Code: | 995084672 |
Phone Number: | 9075618610 |
Fax Number: | 9075610214 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 01/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4483 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |