Individual ProviderAshton KellyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2907 Miori Lane, Victoria, TX 77901(361) 573-0731PECOS EnrollmentBased on the most recent information from CMS, provider Ashton Kelly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1346936036Provider TypeIndividualFull NameKelly, AshtonCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date4/14/2023Last Updated4/14/2023Contact InformationPractice LocationPractice Address2907 Miori Lane, Victoria, TX 77901Phone(361) 573-0731Fax(361) 573-1594Mailing LocationMailing Address1905 Leary Ln, Victoria, TX 77901-2899Phone(361) 573-0731Fax(361) 573-1594Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1258643Texas