Provider Demographics
NPI:1588118384
Name:MCBRATNEY, KALEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:
Last Name:MCBRATNEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 SMU BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-2517
Mailing Address - Country:US
Mailing Address - Phone:321-480-6197
Mailing Address - Fax:
Practice Address - Street 1:3220 SMU BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-2517
Practice Address - Country:US
Practice Address - Phone:321-480-6197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27306225100000X
225100000X
FL31689225100000X
AZ12510225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist