Individual
KELLY RICHARD HARROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
120 E 5TH ST, TIPTON, IA 52772-1731
(563) 886-3421
(563) 886-2083
Mailing address
2401 TOWNCREST DR, IOWA CITY, IA 52240-6631
(319) 354-2429
(319) 354-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004537
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
06/07/2010
Last updated
06/07/2010
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