Kelli Black, PT, DPT

NPI #1578186763 in Macon, Missouri

Provider Information

NPI Number: 1578186763
Entity Type: Individual
Name: Kelli Black, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 21, 2020
Last Updated: May 21, 2020

Practice Location

Address: 701 SUNSET HILLS DR
City: Macon
State: Missouri
ZIP Code: 63552-2165
Phone: (660) 385-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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