Provider Demographics
NPI:1295022333
Name:GEE, KELLI ANN (PT)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:ANN
Last Name:GEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17601 NW 2ND AVE STE S
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5001
Mailing Address - Country:US
Mailing Address - Phone:305-770-4500
Mailing Address - Fax:
Practice Address - Street 1:17601 NW 2ND AVE STE S
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-5001
Practice Address - Country:US
Practice Address - Phone:305-770-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 26603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist