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Contact Information

ROWDY KELLY, P.T., COMT
200 N COLLEGE ST
MOUNTAIN HOME, AR72653-3654
 Phone: 870-424-4550
 Fax: 870-424-4558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ROWDY KELLY · (Male)

NPI # 1124017058
Status Active
Credentials P.T., COMT
Entity Individual
Enumeration date 10/13/2005
Last updated 03/07/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # PT1978
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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