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Contact Information

THERESA L KELSEY, LPT
123 FRONTIER BLVD STE 106
STANFORD, KY40484
 Phone: 606-257-0005
 Fax: 606-262-4132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for THERESA L KELSEY · (Female)

NPI # 1316963036
Status Active
Credentials LPT
Entity Individual
Enumeration date 07/14/2006
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 003869
  • KY Medicaid 7100508700
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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