Ian Christopher Kelley Valid NPI
Individual provider · Physical Therapist · Vicksburg, MI
- NPI
- 1821701194
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- 5501302420 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-01-03
- Last updated
- 2023-01-03
Practice location
13329 Portage Rd
Vicksburg, MI 49097-9496
(269) 649-2400