Individual provider · Type 1 NPI

Kelly M. Broussard, DPT

Physical Therapist · Leland, NC

NPI number 1801433958 Active

Practice location

1168 E Cutlar Xing
Leland, NC 28451-6484

Fax (919) 251-0421

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X27089 (MD)
Physical Therapist Primary 225100000XP18088 (NC)

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 1801433958

Kelly M. Broussard, DPT's National Provider Identifier is 1801433958, issued on Dec 9, 2019. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Leland, NC. The record was last updated on Sep 3, 2025.