Individual
KELLY FECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
29605 US HIGHWAY 19 N, SUITE #360, CLEARWATER, FL 33761-1537
(727) 784-6088
(727) 784-3034
Mailing address
29605 US HIGHWAY 19 N, SUITE #360, CLEARWATER, FL 33761-1537
(727) 784-6088
(727) 784-3034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22782
FL
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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