Individual
JODI KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3910 TEAYS VALLEY ROAD, HURRICANE, WV 25526-9756
(304) 757-7293
Mailing address
3910 TEAYS VALLEY ROAD, HURRICANE, WV 25526-9756
(304) 757-7293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001880
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007310000
—
WV
Enumeration date
03/28/2007
Last updated
06/15/2009
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