Kelly A. Lively in Cranston - Physical Therapist

Kelly A. Lively - NPI 1417119249

Kelly A. Lively is a Physical Therapist in Cranston, Rhode Island. Kelly A. Lively practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kelly A. Lively is 1417119249. The last update date is 2008-07-02.

Kelly A. Lively's current location address is Po Box 20372, Cranston, Rhode Island. You can contact this provider via phone number 4017851016 and fax number 4017851018. The mailing address for Kelly A. Lively is Po Box 20372, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly A. Lively
Address Po Box 20372, Cranston, Rhode Island
Phone Number 4017851016
Fax Number 4017851018
Sole Proprietor Y
Credentials P.T.

NPI Number Detail

NPI Number 1417119249
Provider Enumeration Date 2008-07-02
Last Updated Date 2008-07-02

Provider Mailing Address Detail

Address Po Box 20372
City Cranston
State Rhode Island (RI)
Post Code 29200944
Phone Number 4017851016
Fax Number 4017851018

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No PT00693
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PT 00693 RI STATE LICENSE

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FAQs about Kelly A. Lively

What is the unique 10-digit identifier code assigned to Kelly A. Lively by the Centers for Medicare & Medicaid Services?

The Kelly A. Lively has been issued the NPI (National Provider Identifier) 1417119249 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Kelly A. Lively's physical address?

The Kelly A. Lively is physically located at Po Box 20372, in the city of Cranston, RI, with the postal code 29200944.

What is Kelly A. Lively's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly A. Lively is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.

When did the Kelly A. Lively receive its 1417119249?

The Kelly A. Lively was issued its 1417119249 on 2008-07-02, which is the date when the organization was assigned this unique identifier.

When was the Kelly A. Lively's information last updated?

The Kelly A. Lively's information was last updated on 2008-07-02.

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