Individual
JARON KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6485 UNIVERSITY DR NW STE C, HUNTSVILLE, AL 35806-1715
(256) 513-8280
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, BIRMINGHAM, AL 35242-2660
(205) 745-3660
(205) 745-3649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9490
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH9490
LICENSE
AL
Enumeration date
08/02/2019
Last updated
08/02/2019
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