IndividualActive
Brody Kelly, PHYSICAL THERAPY
NPI 1952122848 · Physical Therapist · Zachary, LA
Provider details
- NPI number
- 1952122848
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPY
- Sex
- Male
- Sole proprietor
- No
- License
- 11925 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4845 Main St Ste C
Zachary, LA 70791-3943
Phone: (225) 286-0181
Approximate (ZIP-level) locationGet directions
Mailing address
4324 S Sherwood Forest Blvd Ste B170
Baton Rouge, LA 70816-4481
Registry dates
- Enumerated
- 2024-10-23
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.