Healthcare Provider Details

I. General information

NPI: 1649418658
Provider Name (Legal Business Name): KELLY ANN CAULEY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KELLY MERSCHER

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 11/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 SHANNONDELL DR
AUDUBON PA
19403-5615
US

IV. Provider business mailing address

188 WILLIAM PENN DR
NORRISTOWN PA
19403-5206
US

V. Phone/Fax

Practice location:
  • Phone: 610-728-5607
  • Fax: 610-728-5323
Mailing address:
  • Phone: 610-322-2068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019605
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: