Provider Demographics
NPI:1720661804
Name:SCHLARMANN, KELLI LYNN (PTA-CLT)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:LYNN
Last Name:SCHLARMANN
Suffix:
Gender:F
Credentials:PTA-CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4850 31ST ST S STE B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1661
Mailing Address - Country:US
Mailing Address - Phone:703-527-8446
Mailing Address - Fax:703-527-1752
Practice Address - Street 1:4850 31ST ST S STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1661
Practice Address - Country:US
Practice Address - Phone:703-527-8446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-05
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306605555225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant