| NPI | 1477670594 |
|---|---|
| Former Name | KELLY HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 011150) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-04-27 |