Wood, Brian Kelly

Wood, Brian Kelly is an individual health care provider with primary practice located at 2535 Ira E Woods Ave , Grapevine TX 76051-3930. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wood, Brian Kelly can be contacted via phone (817) 481-2121.

Contact Information

Primary practice address
2535 Ira E Woods Ave Grapevine TX 76051-3930
Phone: (817) 481-2121
Fax: (817) 488-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1123933 Texas

Profile Details

NPI number 1912946468
LBN Legal business name Wood, Brian Kelly
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 9th, 2012 - about 13 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 1912946468 NPPES
Texas Other 1123933 STATE OF TX LICENSE

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