Individual
MS. KELLY G REECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 FORUM DR STE 13, COLUMBIA, SC 29229-7943
(803) 509-6880
Mailing address
24 HOLLYWOOD BLVD SW STE 7, FORT WALTON BEACH, FL 32548-4893
(850) 226-7411
(850) 613-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10043
SC
225100000X
Physical Therapist
Primary
PT27240
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004801700
—
FL
Enumeration date
03/29/2012
Last updated
03/12/2020
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