Maier, Kelly Jean
Maier, Kelly Jean is an sole proprietor health care provider with primary practice located at 111 Wellmore Dr , Fort Mill SC 29708-0124. 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. Maier, Kelly Jean can be contacted via phone (803) 835-7059.Contact Information
Primary practice address
111 Wellmore Dr
Fort Mill SC 29708-0124
Phone: (803) 835-7059
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT9109 | Ohio |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7517 | South Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15204 | North Carolina |
Profile Details
| NPI number | 1558684753 |
|---|---|
| LBN Legal business name | Maier, Kelly Jean |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2010 |
| Last updated | Mar 15th, 2017 - about 7 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558684753 | NPPES |
| North Carolina | Other | 15204 | PT LICENSE |
| North Carolina | Other | 7517 | PT LICENSE |
| North Carolina | Other | PT9109 | PT LICENSE |
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