Basic Information
| Provider Information | |||||||||
| NPI: | 1861496713 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAPLANT | ||||||||
| FirstName: | KELLIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 OFFICE PARK CIR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352232511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2058717242 | ||||||||
| FaxNumber: | 2058717240 | ||||||||
| Practice Location | |||||||||
| Address1: | 4198 US HIGHWAY 431 | ||||||||
| Address2: | SUITE D | ||||||||
| City: | ALBERTVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 359500238 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2568943870 | ||||||||
| FaxNumber: | 2568943872 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTH4172 | AL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.