Individual
DOUGLAS FARRELL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2519 S LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-4312
Mailing address
2519 S LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(512) 331-4312
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3111385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3111385
LICENSE TX TEMP
TX
Enumeration date
07/18/2012
Last updated
07/18/2012
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