Michaelanne Kelly, PTA

NPI #1881948859 in Choctaw, Oklahoma

Provider Information

NPI Number: 1881948859
Entity Type: Individual
Name: Michaelanne Kelly, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 30, 2012
Last Updated: Oct 30, 2012

Practice Location

Address: 1880 N TRIPLE X RD
City: Choctaw
State: Oklahoma
ZIP Code: 73020
Phone: (405) 834-6432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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