Individual
DR. JASON LEE KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2295 TOWNE LAKE PKWY, SUITE 148, WOODSTOCK, GA 30189-5520
(770) 926-2744
(770) 926-2794
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22862
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22862
PHYSICAL THERAPIST
FL
Enumeration date
10/02/2006
Last updated
02/11/2014
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