| Doctor Name: | KELLY BERRY |
| NPI Number: | 1891004123 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT020886 |
| Business Practice Address: | 1086 Highway 315 Blvd # 315 Plains, PA - 187027012 |
| Business Phone Number: | 5708237761 |
| Business Fax Number: | 5708297761 |
| Mailing Address: | 556 N Main St, ARCHBALD |
| State: | PA |
| Postal Code: | 184031822 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2010 |
| NPI Last Update Date: | 10/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT020886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |