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Mr. Nicholas Kelly, PT
Pediatric Physical Therapist in Macon, Georgia
NPI 1336693647

Nicholas Kelly is a Pediatric Physical Therapist based in Macon, GA and is specialized in Pediatrics. Nicholas Kelly practices in Macon, GA and has the professional credentials of PT. The NPI Number for Nicholas Kelly is 1336693647 and holds a License No. (Georgia).

The current practice location address for Nicholas Kelly is 1014 Forsyth St, Macon, GA and can be reached out via phone at 478-633-8100 and via fax at 478-633-6268. You can also correspond with Nicholas Kelly through the mailing address at 1014 FORSYTH ST, MACON, GA - 31201-2051 (mailing address contact number: 478-633-8100).

Location: 1014 Forsyth St, Macon, GA, 31201-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336693647
Provider Name
Nicholas Kelly
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1014 Forsyth St, Macon, GA, 31201-2051
Phone Number
478-633-8100
Fax Number
478-633-6268
Provider Enumeration Date
08/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1014 Forsyth St
City
Macon
State
Georgia
Zip
31201-2051
Phone Number
478-633-8100
Fax Number
478-633-6268
person
Provider Business Mailing Address Details
Address
1014 Forsyth St
City
Macon
State
Georgia
Zip
31201-2051
Phone Number
478-633-8100
Fax Number
478-633-6268
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
(Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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