MEDICARE: DR. KELLY J SLOTHOWER 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	225100000X	Physical Therapist	J10002778	DE
2	2251S0007X	Sports Physical Therapist	10613	NC
3	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1669672184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELLY J SLOTHOWER DPT

Provider Business Mailing Address
First Line	:	910 FOULK RD
Second Line	:	SUITE 100
City	:	WILMINGTON
State	:	DE
Zip	:	19803-3158
Country	:	US
Telephone Number	:	302-477-1536
Fax Number	:	302-477-1564

Provider Business Practice Location Address
First Line	:	150 MONUMENT RD STE 110
Second Line	:
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1725
Country	:	US
Telephone Number	:	484-268-1350
Fax Number	:	484-268-1351

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

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	03/17/2018

Similar Medicare Providers

1992636492 — POINT PSYCHIATRY AND WELLNESS PLLC
Practice Location Address:

150 MONUMENT RD STE 207
BALA CYNWYD, PA
19004-1725

Practice Phone: 267-900-3212
Practice Fax:

1669452439 — RENEE L MCDONOUGH MD
Practice Location Address:

150 MONUMENT ROAD , SUITE 300
BALA CYNWYD, PA
19004-1725

Practice Phone: 610-747-3400
Practice Fax: 610-617-2481

1780622639 — DR. MICHAEL JAMES MANDARINO JR. M.D.
Practice Location Address:

150 MONUMENT RD STE 207
BALA CYNWYD, PA
19004-1725

Practice Phone: 215-878-1212
Practice Fax: 610-989-9813

1871534453 — MARIANN WARD NP
Practice Location Address:

150 MONUMENT RD STE 300
BALA CYNWYD, PA
19004-1725

Practice Phone: 610-747-3400
Practice Fax: 610-617-2481

1992746366 — PRESBYTERIAN MEDICAL CENTER OF THE UNIVERSITY OF PENNSYLVANIA HEALTH S
Practice Location Address:

150 MONUMENT RD , SUITE 300
BALA CYNWYD, PA
19004-1725

Practice Phone: 610-747-3400
Practice Fax: 610-747-3479

1316257553 — CORPORATE WELLNESS NUTRITION LLC
Practice Location Address:

150 MONUMENT RD STE 207
BALA CYNWYD, PA
19004-1725

Practice Phone: 800-484-7720
Practice Fax: 215-628-3262

Directions to “ DR. KELLY J SLOTHOWER DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.