Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERK KELLY, PT,DPT
Active Sole ProprietorDERK KELLY, PT,DPT is a Physical Therapy Assistant healthcare provider located in WAUWATOSA, Wisconsin. NPI 1114272093 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WAUWATOSA, WI
Registration Details
- NPI Number
- 1114272093
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2012 (14.054851391898 yrs)
- Last Updated
- Jul 17, 2012
- License
-
12071-24 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6004 W WELLS STWAUWATOSA, WI, 532133244Browse WI providers · Browse ZIP 53213
- Phone
- 8043495941
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WAUWATOSA, WI
| Name | Credential | NPI |
|---|---|---|
| LOIS C KARNUTH | PT | 1114990306 |
| DOREEN KAY VANDRE | MS, PT, ATC | 1093768285 |
| COLLEEN ANN WILKENS | PT | 1245279967 |
| DIANE MARIE LAPOTA | P.T. | 1275577785 |
| MR. ADAM M. DAVIS | P.T. | 1376587303 |
| SUSAN K STANK | PT | 1194751347 |
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.