IndividualActive
Brian Kellum, MSPT
NPI 1669699104 · Geriatric Physical Therapist · Indianapolis, IN
Provider details
- NPI number
- 1669699104
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 05006047A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6306 Silver Moon Ct
Indianapolis, IN 46259-8749
Phone: (317) 862-6717
Approximate (ZIP-level) locationGet directions
Mailing address
6306 Silver Moon Ct
Indianapolis, IN 46259-8749
Registry dates
- Enumerated
- 2007-04-19
- 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.