| Organization Name: | KELSEY ENTERPRISES LLC |
| NPI Number: | 1720396724 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENNAN KELSEY (PHYSICAL THERAPIST) |
| Mailing Address: | 215 Nw Central Ave Amite |
| State: | LA US |
| Postal Code: | 70422 |
| Phone Number: | 9857473422 |
| Fax Number: | 9857473424 |
| NPI Enumeration Date: | 09/24/2010 |
| NPI Last Update Date: | 01/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |