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Contact Information

ALYSSA KELLY, DPT
12380 DE PAUL DR
BRIDGETON, MO63044-2511
 Phone: 314-447-9700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2251N0400X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ALYSSA KELLY · (Female)

NPI # 1134826183
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 02/09/2023
Last updated 02/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2023004456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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