Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI BLACK, PT, DPT
ActiveKELLI BLACK, PT, DPT is a Physical Therapy Assistant healthcare provider located in MACON, Missouri. NPI 1578186763 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MACON, MO
Registration Details
- NPI Number
- 1578186763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2020 (6.0870798834044 yrs)
- Last Updated
- May 21, 2020
- License
-
2019042022 (MO)
Practice Information
- Address
-
701 SUNSET HILLS DRMACON, MO, 635522165Browse MO providers · Browse ZIP 63552
- Phone
- 6603853113
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MACON, MO
| Name | Credential | NPI |
|---|---|---|
| MS. KATHY S ABERNATHY | PT | 1386636793 |
| PAUL VINCENT LANE | P.T. | 1841316296 |
| ABBY M LANE | P.T. | 1871619262 |
| LARA BETH JONES | MPT | 1366568735 |
| CYNTHIA MARIE SEILER | M.P.T. | 1184740581 |
| MR. ADRIAN NEIL AGUSTIN | P.T. | 1922235100 |
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.