Active NPIIndividual providerSole proprietor

Mrs. Kelly J Anetrellla, PT

Physical Therapist in Meriden, Connecticut

NPI Number1255367520
Practice location
241 Broad St, Meriden, CT 06450-5877
Fax
203-440-9881
Last updated
July 10, 2007

Kelly Jean Anetrellla is a Physical Therapist based in Meriden, CT. Kelly Jean Anetrellla practices in Meriden, CT and has the professional credentials of PT. The NPI Number for Kelly Jean Anetrellla is 1255367520 and holds a License No. 006419 (CT). The current practice location address for Kelly Jean Anetrellla is 241 Broad St, Meriden, CT 06450-5877 and can be reached out via phone at 203-440-9880 and via fax at 203-440-9881.

Provider Profile Details

NPI Number
1255367520
Provider Name
Kelly Jean Anetrellla
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
241 Broad St, Meriden, CT 06450-5877
Phone Number
203-440-9880
Fax Number
203-440-9881
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2006
Last Update Date
July 10, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
241 Broad St
Meriden, CT 06450-5877
Zip
06450-5877
Phone Number
203-440-9880
Fax Number
203-440-9881
Meriden, CT 06450Get directions →

Provider Business Mailing Address Details

Address
241 Broad St
Meriden, CT 06450-5877
City
Meriden
State
CT
Zip
06450-5877
Phone Number
203-440-9880
Fax Number
203-440-9881

License Information

License Number
006419
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kelly J Anetrellla, PT?

The NPI number of Mrs. Kelly J Anetrellla, PT is 1255367520. It was assigned on June 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly J Anetrellla, PT?

Mrs. Kelly J Anetrellla, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 006419.

Where does Mrs. Kelly J Anetrellla, PT practice?

The practice location is 241 Broad St, Meriden, CT 06450-5877. The office can be reached at 203-440-9880 (phone) or 203-440-9881 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255367520 directly on the NPPES registry website.

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