Individual
KATHLEEN KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 KENSINGTON AVE STE 100, MISSOULA, MT 59801-5670
(406) 240-3878
(406) 552-4843
Mailing address
5767 FOX TRL, FLORENCE, MT 59833-6661
(406) 240-3878
(406) 552-4843
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2066PT
MT
332B00000X
Durable Medical Equipment & Medical Supplies
2066PT
MT
Other
Enumeration date
11/03/2009
Last updated
02/27/2014
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