| Doctor Name: | MRS. KELLY NICOLE CLYMER |
| NPI Number: | 1588617252 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT19225 |
| Business Practice Address: | 220 Greenfield Ave San Anselmo, CA - 949602416 |
| Business Phone Number: | 4154574454 |
| Business Fax Number: | 4154574944 |
| Mailing Address: | Po Box 950, NOVATO |
| State: | CA |
| Postal Code: | 949480950 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT19225 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |