Zona C Kelly
Individual provider Active NPI Physical Therapist · Shreveport, LA
NPI 1922481886 · NPPES record last updated Jul 9, 2015
Key facts
- NPI
- 1922481886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2298 (LA)
- Practice address
- 9402 Stonebriar Cir
Shreveport, LA 71115-3724 - Phone
- (318) 286-3723
- NPI assigned
- Jul 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2298 | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2298 | LA | Yes |
Addresses
Primary practice location
9402 Stonebriar Cir
Shreveport, LA 71115-3724
Mailing address
9402 Stonebriar Cir
Shreveport, LA 71115-3724
Phone (318) 286-3723
Other providers in Shreveport, LA
- Brittany Elaine Kelly
- Cameron Kelly
- Carl A Kelly IV
- Destiny D Kelly
- Tamara Yvette Kelly
- Zondrian Kelly
- Ryan Kelm
- Cassandra Anne Kemmerer
- Susan Elizabeth Kemp
- Candace Capelan Kemper
All providers in Shreveport, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2015. 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.