Kelley J Bannerman, PTA
NPI #1073307005 in The Villages, Florida
Provider Information
- NPI Number
- 1073307005
- Entity Type
- Individual
- Name
- Kelley J Bannerman, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 7, 2025
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 768 HUEY LN
- City
- The Villages
- State
- Florida
- ZIP Code
- 32162-7442
- Phone
- (585) 429-0603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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