Heather Kellar, PT, DPT
Physical Therapist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1093487134
StatusActive
Last updated in NPPESNov 25, 2024
Details
- NPI
- 1093487134
- Entity type
- Individual (NPI-1)
- Name
- Heather Kellar
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Nov 25, 2024
- Last updated
- Nov 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT27676 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
3190 Antigua DrJacksonville Beach, FL 32250-3938
Phone 845-313-5730
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