Provider Demographics
NPI:1790719383
Name:MCFARLAND, KELLY (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:KELLY
Other - Middle Name:A
Other - Last Name:ECKOLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:5060 DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-7004
Mailing Address - Country:US
Mailing Address - Phone:817-498-8585
Mailing Address - Fax:817-498-8582
Practice Address - Street 1:5060 DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-7004
Practice Address - Country:US
Practice Address - Phone:817-498-8585
Practice Address - Fax:817-498-8582
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130664225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B1308Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER