Organization · Type 2 NPI

Michael T Kelly DC PA

Chiropractor · Port St. Lucie, FL

NPI number 1053669788 Active

Practice location

1295 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5365

Call (772) 785-8500 Map

Fax (772) 785-8511

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH0007060 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1053669788

Michael T Kelly DC PA's National Provider Identifier is 1053669788, issued on Aug 28, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Feb 26, 2025.