Organization
MIKE KELO PHYSICAL THERAPY, PLLC
Active
Organization
MIKE KELO PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JOHN KELO PT (OWNER/PHYSICAL THERAPIST)
(804) 366-8518
Entity
Organization
Contact information
Practice address
12212 BRANDERS CREEK DR, CHESTER, VA 23831-1626
(804) 425-4545
(804) 778-4522
Mailing address
12212 BRANDERS CREEK DR, CHESTER, VA 23831-1626
(804) 425-4545
(804) 425-4546
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
2305002847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
STF191889
—
VA
Enumeration date
09/18/2008
Last updated
03/02/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up