MRS. Kelly Gordon

NPI #1992677827 in Crestview, Florida

Provider Information

NPI Number: 1992677827
Entity Type: Individual
Name: MRS. Kelly Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 20, 2025
Last Updated: Sep 20, 2025

Practice Location

Address: 151 E REDSTONE AVE
City: Crestview
State: Florida
ZIP Code: 32539-5352
Phone: (850) 423-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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