IndividualActive
Kelly Middendorf, DI
NPI 1629296769 · Cardiopulmonary Physical Therapist · Edgewood, KY
Provider details
- NPI number
- 1629296769
- Entity type
- Individual
- Primary specialty
- Cardiopulmonary Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DI
- Sex
- Female
- Sole proprietor
- Yes
- License
- 222Q00000X (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3067 Magnolia Ct
Edgewood, KY 41017-3371
Phone: (859) 341-4077
Fax: (859) 341-0573
Approximate (ZIP-level) locationGet directions
Mailing address
3067 Magnolia Ct
Edgewood, KY 41017-3371
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.