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Individual

MICHAEL THOMAS KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3040 HIGHWAY 17 BYP N STE A, MOUNT PLEASANT, SC 29466-9315
(843) 388-7667
(843) 388-7877
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 788-8484
(803) 788-8499

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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