Provider Demographics
NPI:1275032294
Name:LAWS, KELSEY (DPT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:LAWS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:
Other - Last Name:GALLAGHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1101 ARROW POINT DR STE 105
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7738
Mailing Address - Country:US
Mailing Address - Phone:512-324-3530
Mailing Address - Fax:512-259-2335
Practice Address - Street 1:1101 ARROW POINT DR STE 105
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7738
Practice Address - Country:US
Practice Address - Phone:512-324-3530
Practice Address - Fax:512-259-2335
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1295112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist