MR. KELLY LEWIS, PT

Licensed Psychiatric Technician

Active Individual
NPI: 1497006662

Practice Address

2180 JOHNSON AVE
San Luis Obispo, CA 93401

Phone: (805) 781-4394

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT36628 (CA)

Frequently Asked Questions

NPI 1497006662 is the National Provider Identifier for MR. KELLY LEWIS, PT, a Licensed Psychiatric Technician provider located in San Luis Obispo, CA. This NPI was enumerated on September 27, 2012.
MR. KELLY LEWIS, PT practices at 2180 JOHNSON AVE, San Luis Obispo, CA 93401.

Quick Facts

NPI
1497006662
Type
Individual
Enumerated
Sep 27, 2012
Last Updated
May 29, 2025

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