Most Relevant Information
Provider Data
| NPI Number: | 1003064775 |
| Provider Name: | KELLY ANNE KLOEPPING PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2008018158 |
Most Important Dates
| Enumeration Date: | 09/05/2008 |
| Last Updated: | 07/10/2009 |
Provider Practice Location
308 S.E. GREENVILLE BLVD.
B-3
GREENVILLE
NC
278585758
Practice Location Phone/Fax
| Phone: | 2522155225 |
| Fax: | 2522155226 |
Provider Mailing Location
308 S.E. GREENVILLE BLVD.
B-3
GREENVILLE
NC
278585758
Provider Mailing Phone/Fax
| Phone: | 2522155225 |
| Fax: | 2522155226 |