Provider Demographics
NPI:1447303359
Name:NEELY, RITA M (PT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:M
Last Name:NEELY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:M
Other - Last Name:KLEINMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:672 BECKS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40769-1872
Mailing Address - Country:US
Mailing Address - Phone:606-344-6250
Mailing Address - Fax:931-456-5533
Practice Address - Street 1:29 TAYLOR AVE STE 205
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-4537
Practice Address - Country:US
Practice Address - Phone:931-456-5757
Practice Address - Fax:931-456-5533
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001166225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist