Kelly Jenkins, PT, DPT
Physical Therapist in Port Orange, FL. Individual provider (NPI-1).
NPI number1235936618
StatusActive
Last updated in NPPESFeb 25, 2025
Details
- NPI
- 1235936618
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jenkins
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2025
- Certification date
- Feb 25, 2025
- Last updated
- Feb 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 42798 | FL | Yes |
Practice location
733 Dunlawton Ave Ste 103Port Orange, FL 32127-4226
Phone 386-756-0077
Mailing address
5121 Center Hill Church RdLoganville, GA 30052-7206
Phone 770-363-4354
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All 168 Physical Therapist providers in Port Orange · All 1,907 providers in Port Orange
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