KELLY BLACK, PT
Physical Therapist
Active
Individual
NPI: 1629527049
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 2001031153 (MO) |
Frequently Asked Questions
NPI 1629527049 is the National Provider Identifier for KELLY BLACK, PT, a Physical Therapist provider located in Ozark, MO. This NPI was enumerated on September 27, 2016.
KELLY BLACK, PT practices at 1114 W JACKSON ST, Ozark, MO 65721.
Quick Facts
- NPI
- 1629527049
- Type
- Individual
- Enumerated
- Sep 27, 2016
- Last Updated
- Sep 27, 2016
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