Individual provider · Type 1 NPI

Kyle Kelly, PTA

Physical Therapy Assistant · Palos Heights, IL

NPI number 1417339086 Active

Practice location

12550 S Ridgeland Ave
Palos Heights, IL 60463-1859

Mailing address

19647 Therese Ln
Mokena, IL 60448-1752

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160007018 (IL)

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 1417339086

Kyle Kelly, PTA's National Provider Identifier is 1417339086, issued on Jun 19, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Palos Heights, IL. The record was last updated on Jun 19, 2015.