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NPI Code Detail

MEDICARE: KELLY GUTH PT

MEDICARE: KELLY GUTH PT
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
1225100000XPhysical Therapist05002905AIN

General Provider Information

NPI Number : 1548192099
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY GUTH PT
Provider Business Mailing Address
First Line : 1025 WASHINGTON CIR
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-4472
Country : US
Telephone Number : 812-455-0883
Fax Number :
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-3393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ KELLY GUTH PT” Practice Location

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