Paul Gerard Kelly in Gresham - Physical Therapist
Paul Gerard Kelly - NPI 1972790707
Paul Gerard Kelly is a Physical Therapist in Gresham, Oregon. Paul Gerard Kelly practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Paul Gerard Kelly is 1972790707. The last update date is 2007-09-25.
Paul Gerard Kelly's current location address is 405 Ne 5th St, Gresham, Oregon. You can contact this provider via phone number 5036665600. The mailing address for Paul Gerard Kelly is 405 Ne 5th St, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Gerard Kelly |
|---|---|
| Address | 405 Ne 5th St, Gresham, Oregon |
| Phone Number | 5036665600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1972790707 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 405 Ne 5th St |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970307345 |
| Phone Number | 5036665600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2945 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code issued to Paul Gerard Kelly by the Centers for Medicare & Medicaid Services?
The Paul Gerard Kelly has been assigned the NPI (National Provider Identifier) 1972790707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Paul Gerard Kelly?
The Paul Gerard Kelly is situated at 405 Ne 5Th St, in the city of Gresham, state of OR, with the zip code 970307345.
What is Paul Gerard Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul Gerard Kelly's specialized field of practice is Physical Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225100000X.
On what date did the Paul Gerard Kelly receive its 1972790707 assignment from the Centers for Medicare & Medicaid Services?
The Paul Gerard Kelly was assigned its 1972790707 by the Centers for Medicare & Medicaid Services on 2007-09-25.
When was the Paul Gerard Kelly's information last updated?
The Paul Gerard Kelly's information was last updated on 2007-09-25.