Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JOHN
ActiveKELLY JOHN is a Physical Therapy Assistant healthcare provider located in HAYDEN, Idaho. NPI 1790322436 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HAYDEN, ID
Registration Details
- NPI Number
- 1790322436
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2019 (6.6549277919553 yrs)
- Last Updated
- Dec 12, 2025
Practice Information
- Address
-
8468 N WAYNE DRHAYDEN, ID, 838356025Browse ID providers · Browse ZIP 83835
- Phone
- 2086016060
- Fax
- 2086355098
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in HAYDEN, ID
| Name | Credential | NPI |
|---|---|---|
| ERICA LEA CHVILICEK | P.T. | 1053368126 |
| GARY DOUGLAS SCHNEIDER | P.T. | 1750321071 |
| JUSTIN THOMAS KANE | PT | 1114957073 |
| CLIFFORD KIRACOFE | RPT | 1427073212 |
| KAREN L LEE | MPT | 1093725780 |
| KEVIN JOHN SGROI | P.T. | 1770678484 |
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.