NPI 1073137998

Jack E Kelly, PTDPT

Practitioner Physical Medicine & Rehabilitation Physician Ann Arbor, MI

Practice location

Address: 2215 Fuller Rd, Ann Arbor, MI 48105-2303
Phone: (734) 769-7100
Mailing address: 8906 Meyer Ave, Brighton, MI 48116-2023

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PT018477 (OH)

Other Physical Medicine & Rehabilitation providers in Michigan →

Registry record

NPI: 1073137998
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2020
Record last updated: 6 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.