Provider Demographics
NPI:1851583025
Name:GAIOTTI, KELLY RAYE (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:KELLY
Middle Name:RAYE
Last Name:GAIOTTI
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:DR
Other - First Name:KELLY
Other - Middle Name:RAYE
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, OCS
Mailing Address - Street 1:PO BOX 524
Mailing Address - Street 2:
Mailing Address - City:DORSET
Mailing Address - State:VT
Mailing Address - Zip Code:05251
Mailing Address - Country:US
Mailing Address - Phone:802-417-7816
Mailing Address - Fax:802-440-0280
Practice Address - Street 1:909 ROUTE 30
Practice Address - Street 2:
Practice Address - City:DORSET
Practice Address - State:VT
Practice Address - Zip Code:05251-9661
Practice Address - Country:US
Practice Address - Phone:802-867-7056
Practice Address - Fax:802-440-0280
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040.0003797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist