Individual provider · Type 1 NPI
Kelley B. Penrose, MPT, CCI
Orthopedic Physical Therapist · Osceola, IN
Practice location
10420 Acorn Ct
Osceola, IN 46561-9330
Mailing address
PO Box 796
Granger, IN 46530-0796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | PT21304 (FL) |
| Orthopedic Physical Therapist Primary | 2251X0800X | 05-007738A (IN) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
About NPI 1487750527
Kelley B. Penrose, MPT, CCI's National Provider Identifier is 1487750527, issued on Sep 16, 2006. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Osceola, IN. The record was last updated on Aug 26, 2013.