Individual provider · Type 1 NPI

Kelley N. Johannes, PT

Pediatric Physical Therapist · Spartanburg, SC

NPI number 1932250016 Active

Practice location

2400 Winchester Pl Ste 102B
Spartanburg, SC 29301-1518

Fax (864) 574-7664

Mailing address

139 Dewfield Ln
Boiling Springs, SC 29316-6167

Other practice locations

  • 2711 Randolph Rd, Suite 509, Charlotte, NC 28207-2034 · (704) 491-1455

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200X10792 (NC)
Pediatric Physical Therapist 2251P0200XNone listed
Pediatric Physical Therapist Primary 2251P0200X6818 (SC)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

2 other providers at this address

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About NPI 1932250016

Kelley N. Johannes, PT's National Provider Identifier is 1932250016, issued on Jan 15, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Spartanburg, SC. The record was last updated on Dec 26, 2019.