Individual provider · Type 1 NPI

Tracey Kelly Elliott, PT

Pediatric Physical Therapist · Fort Walton Beach, FL

NPI number 1306971544 Active

Practice location

4 Jackson St NE
Fort Walton Beach, FL 32548-4925

Call (850) 862-7227 Map

Mailing address

2 Julia Way
Gulf Breeze, FL 32561-4071

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT22615 (FL)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1306971544

Tracey Kelly Elliott, PT's National Provider Identifier is 1306971544, issued on Feb 21, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Jul 9, 2007.