Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY BLACK, PT
Active Sole ProprietorKELLY BLACK, PT is a Physical Therapy Assistant healthcare provider located in OZARK, Missouri. NPI 1629527049 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · OZARK, MO
Registration Details
- NPI Number
- 1629527049
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2016 (9.8365381943709 yrs)
- Last Updated
- Sep 27, 2016
- License
-
2001031153 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1114 W JACKSON STOZARK, MO, 657219164Browse MO providers · Browse ZIP 65721
- Phone
- 4175811234
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in OZARK, MO
| Name | Credential | NPI |
|---|---|---|
| JOE E MOORE | P.T. | 1699852442 |
| TINA MARIE ENGEL | PT | 1952520363 |
| MR. JAMES ANTHONY PENNELL | PT | 1831360049 |
| TIMOTHY BROADBENT | MS, PT | 1972778124 |
| MR. JOHN ROSS RAY | PT | 1154597524 |
| DR. MARK KYLE BECH | DPT | 1831338839 |
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.