Individual
KELLI KAYE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
4445 S 86TH ST STE 100, LINCOLN, NE 68526-9225
(402) 261-4739
(402) 261-4972
Mailing address
4911 N 26TH ST STE 100, LINCOLN, NE 68521-4739
(402) 477-3110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1945
NE
2255A2300X
Athletic Trainer
263
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09158
BCBS
NE
05
—
10025058400
—
NE
Enumeration date
07/09/2006
Last updated
02/24/2023
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