KELLI MARIE SELBY (NPI# 1205338753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205338753 |
| Entity Type | Individual |
| Full Name | KELLI MARIE SELBY |
| Credential | DPT |
| Practice Address |
235 Wealthy Grand Rapids MI 49504 |
| Mailing Address |
1151 Van Ess Ave Nw Grand Rapids MI 49504 |
| Practice Telephone | 6168408000 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
5501016904 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
235 WEALTHY |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| 1235413758 | Kelly Suzanne Peterson | Naturopath | 638 Fulton St W Suite B, Grand Rapids, MI 49504 | 2011-10-03 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1487211025 | Samuel Vanderwoude | Physical Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-05-20 |
| 1538662150 | Kristin Lousise Vanderark | Physical Therapist | 4118 Kalamazoo Ave Se, Grand Rapids, MI 49508-3605 | 2018-03-09 |
| 1346742087 | Joseph Dean Ross | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-07 |
| 1720580319 | Hannah Alvarez | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-28 |
| 1619478443 | Tracy Oostema | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1194226811 | Pamela Jeanne Munster | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-27 |
| 1689175648 | Christina Platko | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-26 |
| 1538660543 | Laura M Meengs | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
| 1386135093 | Laura Ann Poirier | Physical Therapist | 27450 Schoenherr Rd, Warren, MI 48088-6683 | 2018-05-29 |
| 1265929616 | Laura Leone | Physical Therapist | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-04-20 |
| 1821595778 | Ronald Cutia Angeles | Physical Therapist | 15855 19 Mile Rd, Clinton Township, MI 48038-3504 | 2018-04-08 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on KELLI MARIE SELBY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.