Individual
MRS. JENNIFER KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
825 PENINSULA DR, DAVIDSON, NC 28036-7302
(615) 945-7320
Mailing address
13300 WILLOW BREEZE LN, HUNTERSVILLE, NC 28078-9629
(615) 945-7320
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11141
NC
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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