Shannon Marie Kelly, DPT

NPI #1053727321 in Burnsville, Minnesota

Provider Information

NPI Number: 1053727321
Entity Type: Individual
Name: Shannon Marie Kelly, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 675 E NICOLLET BLVD
Address 2: OAK RIDGE EAST #135
City: Burnsville
State: Minnesota
ZIP Code: 55337-6741
Phone: (952) 892-2605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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