National Provider Identifier
Edward M Kelly, PTA
Edward M Kelly, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Fillmore, NY and a listed phone number of (585) 567-2232.
Profile Overview
- NPI
- 1326450073
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 29, 2014
- Last Updated
- May 29, 2014
Practice Location
- 11039 Dugway RD
- Fillmore, NY 14735-8610
Phone: (585) 567-2232
Mailing Address
- 3433 Route 446
- Eldred, PA 16731-3109
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1326450073
- Entity Type
- Individual
- Last Name
- Kelly
- First Name
- Edward
- Middle Name
- M
- Name Prefix
- Mr.
- Credential
- PTA
- Mailing Street Address
- 3433 Route 446
- Mailing City
- Eldred
- Mailing State
- PA
- Mailing ZIP Code
- 16731-3109
- Mailing Country
- US
- Mailing Phone
- (814) 225-4980
- Practice Street Address
- 11039 Dugway RD
- Practice City
- Fillmore
- Practice State
- NY
- Practice ZIP Code
- 14735-8610
- Practice Country
- US
- Practice Phone
- (585) 567-2232
- Practice Fax
- (585) 567-2239
- Enumeration Date
- May 29, 2014
- Last Updated
- May 29, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)