Doctor Name: | MR. BILL ROY KELLY |
NPI Number: | 1437335007 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | T |
License Number: | PT0000886 |
Business Practice Address: | 19303 Fremont Ave N Shoreline, WA - 981333800 |
Business Phone Number: | 2065467565 |
Business Fax Number: | |
Mailing Address: | 19211 18th Ave Ne, SHORELINE |
State: | WA |
Postal Code: | 981552319 |
Phone Number: | 2063671370 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT0000886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |