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

KERRY L CONWAY SHORT, DPT, ATC

Active

KERRY L CONWAY SHORT, DPT, ATC is a Physical Therapy Assistant healthcare provider located in FAIRFAX, Virginia. NPI 1417111816 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRFAX, VA

Registration Details

NPI Number
1417111816
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2008 (18.087326651013 yrs)
Last Updated
Apr 1, 2024
Licenses
0126002535 (VA)
AT-794 (CO)
PTL-10528 (CO)

Practice Information

Address
4375 FAIR LAKES CT
FAIRFAX, VA, 220334234
Browse VA providers · Browse ZIP 22033
Phone
5714322600
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Athletic Trainer
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FAIRFAX, VA

Name Credential NPI
VANESSA MARIE HODGE DPT, PT 1780683946
KRISTEN LOFTUS RINALDI PT 1942209101
JENNIFER ANN QUINTANILLA PT 1396744355
JEANNE HARDMON PT 1235138298
KATHLEEN BEIGHT PT 1013916162
CHARUTA MOHARIR PT 1194724252
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.