Dyke, Kelly

Dyke, Kelly is an individual health care provider with primary practice located at 10 Jean Ave Ste 10 , Chelmsford MA 01824-1740. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dyke, Kelly can be contacted via phone (978) 441-9452.

Contact Information

Primary practice address
10 Jean Ave Ste 10 Chelmsford MA 01824-1740
Phone: (978) 441-9452
Fax: (978) 454-9292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 17044 Massachusetts

Profile Details

NPI number 1710978580
LBN Legal business name Dyke, Kelly
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710978580 NPPES
Massachusetts MEDICAID 0702765

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