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NPI Code Detail

MEDICARE: ALISHA KELLEY

MEDICARE: ALISHA KELLEY
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 Therapist

General Provider Information

NPI Number : 1649878455
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHA KELLEY
Provider Business Mailing Address
First Line : 52 FRUITWOOD TRL
Second Line :
City : FAIRFIELD
State : PA
Zip : 17320-8478
Country : US
Telephone Number : 717-860-5552
Fax Number :
Provider Business Practice Location Address
First Line : 142 FRANKLIN FARM LN
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8901
Country : US
Telephone Number : 717-263-5147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2020
Last Update Date : 10/14/2020

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Directions to “ ALISHA KELLEY ” Practice Location

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