MISS Kelly Ann Rogers, PTA, LMT, BS

NPI #1578893723 in Byron, Illinois

Provider Information

NPI Number: 1578893723
Entity Type: Individual
Name: MISS Kelly Ann Rogers, PTA, LMT, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA, LMT, BS
Enumeration Date: Jan 12, 2010
Last Updated: Jan 12, 2010

Practice Location

Address: 404 WEST BLACKHAWK DRIVE
Address 2: SUITE 1LL
City: Byron
State: Illinois
ZIP Code: 61010
Phone: (815) 234-5561

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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