Individual provider · Type 1 NPI

Kelly Jean Desselle, PT, DPT, ATC

Physical Therapist · Grain Valley, MO

NPI number 1366285116 Active

Practice location

1207 NW Pamela Blvd
Grain Valley, MO 64029-7844

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X2025021797 (MO)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1366285116

Kelly Jean Desselle, PT, DPT, ATC's National Provider Identifier is 1366285116, issued on Jun 18, 2024. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Grain Valley, MO. The record was last updated on May 5, 2026.