Kelly Susan Dwiggins, PT
Individual provider Active NPI Physical Therapist · China Grove, NC
NPI 1003045774 · NPPES record last updated Jul 2, 2009
Key facts
- NPI
- 1003045774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 7420 (NC)
- Practice address
- 201 Jandale CT
China Grove, NC 28023-7696 - Phone
- (704) 857-6140
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7420 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7420 | NC | Yes |
Addresses
Primary practice location
201 Jandale CT
China Grove, NC 28023-7696
Mailing address
201 Jandale CT
China Grove, NC 28023-7696
Phone (704) 857-6140
Other providers in China Grove, NC
- Daymark Recovery Services Inc
- Lavanya Desai
- Michelle M. Digia
- David Daniel Diloreto
- Samantha S Drye
- Amanda Earnhardt
- Eckerd Corporation
- Elisabeth Farmer Edds
- Elevate Human Systems
- Family Matters Home Care LLC
All providers in China Grove, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.