Julia A Kellogg
Physical Therapist Hand
1428 W Meyer Rd
Wentzville
, Missouri 63385-3499
Julia A Kellogg
Physical Therapist Hand
1428 W Meyer Rd
Wentzville
, Missouri 63385-3499
(616) 356-5001
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About
Features
Specialties
- Physical Therapist
- Hand
Languages spoken
- English
Location
First Address
- Julia A Kellogg
- 607 Dewey Ave Nw Ste 300
- Grand Rapids, MI
- Zip : 49504-7335
- Fax : (616) 356-5001
- Phone : (616) 356-5000
Second Address
- Julia A Kellogg
- 1428 W Meyer Rd
- Wentzville, MO
- Zip : 63385-3499
- Fax : (636) 887-3661
- Phone : (636) 887-3660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 01829 | MO |
| N | 2251H1200X | Hand | 9611000171 | MO |
National Provider Identifier
| NPI | 1679525570 |
|---|---|
| Provider Name | Julia A Kellogg |
| First Address | Grand Rapids, MI 49504-7335 |
| Second Address | Wentzville, MO 63385-3499 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 25/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12325956 | CAQH ID (01) | MO |
| P00609549 | RAILROAD MEDICARE (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.