Individual
MR. ROWDY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., COMT
Contact information
Practice address
200 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3654
(870) 424-4550
(870) 424-4558
Mailing address
1100 COUNTY ROAD 643, MOUNTAIN HOME, AR 72653-7555
(870) 425-0725
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT1978
AR
Other
Enumeration date
10/13/2005
Last updated
03/07/2011
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