Provider Demographics
NPI:1356656177
Name:NEUMAN, KELLY M (PTA)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:M
Last Name:NEUMAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
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Mailing Address - Street 1:2200 HARVARD RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2611
Mailing Address - Country:US
Mailing Address - Phone:785-842-0071
Mailing Address - Fax:785-842-0071
Practice Address - Street 1:2200 HARVARD RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2611
Practice Address - Country:US
Practice Address - Phone:785-842-0071
Practice Address - Fax:785-842-0071
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS1402050225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant