Individual
MS. LISA A KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2526 N REYNOLDS RD, TOLEDO, OH 43615-0709
(419) 578-4357
(419) 578-6918
Mailing address
2526 N REYNOLDS RD, TOLEDO, OH 43615-0709
(419) 578-4357
(419) 578-6918
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 002979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2645794
—
OH
Enumeration date
09/26/2007
Last updated
03/26/2021
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