| Doctor Name: | KELLI FUNKHOUSER |
| NPI Number: | 1609143213 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, PT |
| License Number: | PT26509 |
| Business Practice Address: | 4194 Innslake Dr Glen Allen, VA - 230603344 |
| Business Phone Number: | 8042178000 |
| Business Fax Number: | |
| Mailing Address: | 371 Silver Oaks Dr, HARRISONBURG |
| State: | VA |
| Postal Code: | 228013578 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2011 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT26509 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |