| NPI | 1265882211 |
|---|---|
| Former Name | ASHLEY LYNN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTPPTLIC11076) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013987) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |