NPI 1235463795 · live from the CMS NPI Registry
Kelly Ballay
Physical Therapist in New Orleans, LA. National Provider Identifier 1235463795, active.
NPI record
| NPI | 1235463795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 2832 Burdette St, New Orleans, LA 70125 |
| Practice phone | 504-861-9970 |
| Mailing address | 116 Liberty St, Belle Chasse, LA 70037 |
| Enumerated | September 30, 2009 |
| Last updated | September 30, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 05054 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.