Provider Demographics
NPI:1821348947
Name:MCARTHUR, KELLY TAMARA (DPT)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:TAMARA
Last Name:MCARTHUR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8198 S JOG RD STE 105A
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-2900
Mailing Address - Country:US
Mailing Address - Phone:561-685-6229
Mailing Address - Fax:561-232-3135
Practice Address - Street 1:8198 S JOG RD STE 105A
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2900
Practice Address - Country:US
Practice Address - Phone:561-685-6229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 25979225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist