Individual provider · Type 1 NPI

Kelly Carson, PTA

Contractor · St. Petersburg, FL

NPI number 1376835520 Active

Practice location

4100 14th St NE
St. Petersburg, FL 33703-5328

Mailing address

35746 Harper Ave
Clinton Township, MI 48035-3212

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X1988 (FL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1376835520

Kelly Carson, PTA's National Provider Identifier is 1376835520, issued on May 6, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in St. Petersburg, FL. The record was last updated on May 6, 2011.