Brian Kellum, MSPT Valid NPI

Individual provider · Geriatric Physical Therapist · Indianapolis, IN

NPI

1669699104

Type

Individual (Type 1)

Primary specialty

Geriatric Physical Therapist (Physical Therapist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2251G0304X

License number

05006047A (IN)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-19

Last updated

2007-07-08