Individual provider · Type 1 NPI

Kyle Kelly, PTA

Physical Therapy Assistant · Broomfield, CO

NPI number 1295572303 Active

Practice location

590 Burbank St Unit 205
Broomfield, CO 80020-7171

Fax (303) 460-0387

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA.0015529 (CO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1295572303

Kyle Kelly, PTA's National Provider Identifier is 1295572303, issued on Jul 15, 2024. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Broomfield, CO. The record was last updated on Jul 15, 2024.