Individual
KELLY HUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3305 E FRY BLVD, SIERRA VISTA, AZ 85635-2990
(520) 515-2754
Mailing address
26 PRONGHORN LN, ELGIN, AZ 85611-7512
(760) 275-5597
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT31585
AZ
2251P0200X
Pediatric Physical Therapist
26604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT31585
PT
AZ
01
—
PT26604
LICENSE #
CA
Enumeration date
02/27/2007
Last updated
09/24/2025
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