Michelle Kelly

NPI #1982890877 in Appleton, Wisconsin

Provider Information

NPI Number: 1982890877
Entity Type: Individual
Name: Michelle Kelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 24, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 1818 N MEADE ST
City: Appleton
State: Wisconsin
ZIP Code: 54911-3454
Phone: (920) 731-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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