Individual
KELLY LYNNE SACKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6300 WEST LOOP S, SUITE 118, BELLAIRE, TX 77401-2900
(713) 661-2900
(713) 661-2999
Mailing address
6300 WEST LOOP S, SUITE 118, BELLAIRE, TX 77401-2900
(713) 661-2900
(713) 661-2999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2007134
TX
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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