Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN KELLY ANDERSON, PTA
ActivePhysical Medicine & Rehabilitation · CALLAHAN, FL
Registration Details
- NPI Number
- 1023517828
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2018 (8.2429366840043 yrs)
- Last Updated
- Mar 17, 2018
- License
-
PTA24543 (FL)
Practice Information
- Address
-
45390 GREEN AVECALLAHAN, FL, 320113711Browse FL providers · Browse ZIP 32011
- Phone
- 9048791223
- Fax
- 9048794986
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.