MEDICARE: KELSEY DAVIS PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	1408366	TX

General Provider Information

NPI Number	:	1487585162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY DAVIS PT, DPT

Provider Business Mailing Address
First Line	:	1712 ROSSON RD
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-8531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 ROSSON RD
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-8531
Country	:	US
Telephone Number	:	318-421-4344
Fax Number	:	318-421-4344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ KELSEY DAVIS PT, DPT” Practice Location

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