Kelly Proulx, PT
Physical Therapist, Pediatrics in Avon, Connecticut
1417336025- Practice location
- 49 W Main St, Avon, CT 06001-3717
- Phone
- 860-284-9779
- Fax
- 860-409-2190
- Last updated
- May 28, 2015
Kelly Proulx is a Physical Therapist, Pediatrics based in Avon, CT. Kelly Proulx practices in Avon, CT and has the professional credentials of PT. The NPI Number for Kelly Proulx is 1417336025 and holds a License No. 009332 (CT). The current practice location address for Kelly Proulx is 49 W Main St, Avon, CT 06001-3717 and can be reached out via phone at 860-284-9779 and via fax at 860-409-2190.
Provider Profile Details
- NPI Number
- 1417336025
- Provider Name
- Kelly Proulx
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 49 W Main St, Avon, CT 06001-3717
- Phone Number
- 860-284-9779
- Fax Number
- 860-409-2190
- Primary Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 28, 2015
- Last Update Date
- May 28, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 W Main St
Avon, CT 06001-3717 - City
- Avon
- State
- Connecticut
- Zip
- 06001-3717
- Phone Number
- 860-284-9779
- Fax Number
- 860-409-2190
Provider Business Mailing Address Details
- Address
- 49 W Main St
Avon, CT 06001-3717 - City
- Avon
- State
- CT
- Zip
- 06001-3717
- Phone Number
- 860-284-9779
- Fax Number
- 860-409-2190
License Information
- License Number
- 009332
- License State
- CT
- Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapist, Pediatrics providers near Avon, CT
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Frequently Asked Questions
What is the NPI number of Kelly Proulx, PT?
The NPI number of Kelly Proulx, PT is 1417336025. It was assigned on May 28, 2015 and is currently active in the NPPES registry.
What is the specialty of Kelly Proulx, PT?
Kelly Proulx, PT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in CT under license number 009332.
Where does Kelly Proulx, PT practice?
The practice location is 49 W Main St, Avon, CT 06001-3717. The office can be reached at 860-284-9779 (phone) or 860-409-2190 (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 1417336025 directly on the NPPES registry website.