| Doctor Name: | KELLY BAKER TAYLOR |
| NPI Number: | 1972939338 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | PT60378525 |
| Business Practice Address: | 9455 Lorton Market St Suite 201 Lorton, VA - 220791962 |
| Business Phone Number: | 7036473120 |
| Business Fax Number: | 7033396352 |
| Mailing Address: | 9455 Lorton Market St, Suite 201 LORTON |
| State: | VA |
| Postal Code: | 220791962 |
| Phone Number: | 7036473120 |
| Fax Number: | 7033396352 |
| NPI Enumeration Date: | 09/17/2013 |
| NPI Last Update Date: | 09/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT60378525 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |