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Individual

MR. KELLY JOHN VANHOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT, M.S., ATC

Contact information

Practice address
6108 ROOSEVELT WAY NE, SEATTLE, WA 98115-6613
(206) 524-4977
(206) 524-4340
Mailing address
6108 ROOSEVELT WAY NE, SEATTLE, WA 98115-6613
(206) 524-4977
(206) 524-4340

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60745535
WA
2255A2300X
Athletic Trainer
A1 60256210
WA

Other

Enumeration date
01/02/2012
Last updated
04/08/2025
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