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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRISTIN NICOLE KELLIM, M.P.T.

Active

KRISTIN NICOLE KELLIM, M.P.T. is a Physical Therapy Assistant healthcare provider located in WOOD RIVER, Illinois. NPI 1306010913 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WOOD RIVER, IL

Registration Details

NPI Number
1306010913
Provider Type
Individual
Gender
Female
NPI Issued
Apr 15, 2008 (18.291854650919 yrs)
Last Updated
Feb 18, 2013
Licenses
2008010372 (MO)
070.017045 (IL)

Practice Information

Address
1138 VAUGHN RD
WOOD RIVER, IL, 62095
Browse IL providers · Browse ZIP 62095
Phone
6182591100
Fax
6182591101
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in WOOD RIVER, IL

Name Credential NPI
MRS. KATHLEEN CROCKETT RPT 1982734414
TRISHA MIDDLETON DPT, CMPT 1841522935
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.