Individual
MR. REID THOMAS KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11660 ALPHARETTA HWY STE 560, ROSWELL, GA 30076-3883
(678) 667-3435
(404) 201-2080
Mailing address
11660 ALPHARETTA HWY STE 560, ROSWELL, GA 30076-3883
(678) 667-3435
(404) 201-2080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 3754
OK
225100000X
Physical Therapist
PT009889
GA
2251S0007X
Sports Physical Therapist
Primary
PT009889
GA
2251X0800X
Orthopedic Physical Therapist
5975
SC
Other
Enumeration date
07/06/2006
Last updated
10/21/2024
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