Individual provider · Type 1 NPI

Shauna Kelly, PT

Military Health Care Provider · Bryan, TX

NPI number 1982900114 Active

Practice location

1600 Joseph Dr
Bryan, TX 77802-1502

Call (979) 776-2411 Map

Fax (979) 776-4986

Mailing address

64 Danbury Rd
Wilton, CT 06897-4429

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X1195167 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

12 other providers at this address

About NPI 1982900114

Shauna Kelly, PT's National Provider Identifier is 1982900114, issued on Feb 5, 2011. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Bryan, TX. The record was last updated on Feb 5, 2011.