Mark Kelley, PTA

Physical Therapy Assistant · Crystal River, FL

Individual Active NPI

NPI number 1598998858

Practice location

394 N Suncoast Blvd
Ste 40
Crystal River, FL 34429-5466
Phone
(352) 795-6225
Fax
(352) 795-6065

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NPI record

NPI
1598998858
Entity type
Individual (Type 1)
Enumeration date
September 2, 2009
Last updated
September 2, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA21605 FL

Mailing address

8455 S Suncoast Blvd
Homosassa, FL 34446-5066
Phone
(352) 795-6225
Fax
(352) 795-6065

About Mark Kelley

Mark Kelley, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466. The NPI number 1598998858 was assigned on September 2, 2009 and the record was last updated on September 2, 2009.

Mark Kelley lists a license in the registry: #PTA21605 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Kelley, PTA?

The NPI number is 1598998858.

What is the phone number of Mark Kelley?

The phone number listed for the practice location is (352) 795-6225.

Where is Mark Kelley located?

394 N Suncoast Blvd, Ste 40, Crystal River, FL 34429-5466.

What is the taxonomy code for Mark Kelley?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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