Kelli Leann Harley, PTA

NPI #1871874099 in Jasper, Texas

Provider Information

NPI Number: 1871874099
Entity Type: Individual
Name: Kelli Leann Harley, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 1, 2011
Last Updated: Sep 1, 2011

Practice Location

Address: 296 MARVIN HANCOCK DR
City: Jasper
State: Texas
ZIP Code: 75951-3479
Phone: (409) 384-7041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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