Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT024496 | PA |
Y | 2251N0400X | Physical Therapist - Neurology | 11323 | MN |
N | 2251N0400X | Physical Therapist - Neurology | PT025596 | PA |
NPI | 1205363645 |
---|---|
Provider Name | Dr. Kelly Hoyt |
First Address | Bethlehem, PA 18018-2256 |
Second Address | Eagan, MN 55121-7707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2017 |
Last Update Date | 11/02/2019 |