Provider Demographics
NPI:1346791175
Name:MUSGROVE, KELSEY K (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:K
Last Name:MUSGROVE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KELSEY
Other - Middle Name:K
Other - Last Name:SHULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:5 SNAPDRAGON CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2810
Mailing Address - Country:US
Mailing Address - Phone:903-241-3791
Mailing Address - Fax:
Practice Address - Street 1:16835 DEER CREEK DR STE 120
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5803
Practice Address - Country:US
Practice Address - Phone:281-379-4374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics