| Doctor Name: | KELLY V CARLSON |
| NPI Number: | 1992776967 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 7090 |
| Business Practice Address: | 717 S State St Suite 900 Fairmont, MN - 560314469 |
| Business Phone Number: | 5072384949 |
| Business Fax Number: | 5072383377 |
| Mailing Address: | 60 Main St E, TRIMONT |
| State: | MN |
| Postal Code: | 561769601 |
| Phone Number: | 5076394072 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 7090 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |