NPI | 1114589546 |
---|---|
Doing Business As | KELLEY THERAPY |
Entity Type | Organization |
Authorized Contact | KELSEY MARIE KELLEY Owner 601-520-1826 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2019-07-06 |
Last Update Date | 2020-07-30 |