Kelly Bedford, PTA

Individual provider Active NPI Physical Therapy Assistant · Middletown, DE

NPI 1336915909 · NPPES record last updated Nov 27, 2023

Key facts

NPI
1336915909
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
J2-0000574 (DE)
Practice address
1070 Bunker Hill Rd
Middletown, DE 19709-9026
Phone
(302) 378-5135
NPI assigned
Nov 27, 2023
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

LicenseStateTypeSpecialty
J2-0000574DEMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X J2-0000574 DE Yes

Addresses

Primary practice location

1070 Bunker Hill Rd
Middletown, DE 19709-9026

Mailing address

509 Swansea Dr
Middletown, DE 19709-0207
Phone (302) 545-2043

Other providers in Middletown, DE

All providers in Middletown, DE · Physical Therapy Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.