Individual
KELLY SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSRS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
310155
CA
225100000X
Physical Therapist
CP052019T
AZ
225100000X
Physical Therapist
Primary
CP056442T
CO
2251N0400X
Neurology Physical Therapist
40QA02222400
NJ
Other
Enumeration date
05/12/2026
Last updated
05/26/2026
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