| Kelley B Penrose, MPT,CCI | |
|
10420 Acorn Ct, Osceola, IN 46561-9330 | |
| (574) 238-6397 | |
| Not Available |
| Full Name | Kelley B Penrose |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 10420 Acorn Ct, Osceola, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487750527 | NPI | - | NPPES |
| 891690000 | Medicaid | FL | |
| AB762Z | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21304 (Florida) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | 05-007738A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley B Penrose, MPT,CCI Po Box 796, Granger, IN 46530-0796 Ph: (574) 238-6397 | Kelley B Penrose, MPT,CCI 10420 Acorn Ct, Osceola, IN 46561-9330 Ph: (574) 238-6397 |
Joy Yabut Ealdama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10354 Lindwood Ct, Osceola, IN 46561 Phone: 574-675-0685 | |
Pediatrics, Orthopedics And Spine Therapy Center Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Lincoln Way West, Suite M, Osceola, IN 46561 Phone: 574-675-7767 Fax: 574-675-9344 |