Schiller, Kelly Moore

Schiller, Kelly Moore is an individual health care provider with primary practice located at 1501 Se Walton Blvd Suite 1009, Bentonville AR 72712-3734. 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. Schiller, Kelly Moore can be contacted via phone (479) 464-9672.

Contact Information

Primary practice address
1501 Se Walton Blvd Suite 1009 Bentonville AR 72712-3734
Phone: (479) 464-9672
Fax: (497) 464-9675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT003384 Georgia

Profile Details

NPI number 1205839214
LBN Legal business name Schiller, Kelly Moore
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205839214 NPPES
Arkansas Other 2948 AR PHYSICAL THERAPY LICEN

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