Search › Wisconsin › 225100000X
Derk Kelly, PT,DPT
NPI 1114272093 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6004 W Wells St
Wauwatosa, WI 53213 - Phone
- (804) 349-5941
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin