Individual ProviderBrenna Megan KelleyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address20 Chapel St, Wallingford, CT 06492-2213(203) 741-9948PECOS EnrollmentBased on the most recent information from CMS, provider Brenna Megan Kelley 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 5 days ago.Profile DetailsProvider ID1740956788Provider TypeIndividualFull NameKelley, Brenna MeganTitleDr.CredentialDPTGenderFemaleSole ProprietorYesEnumeration Date8/19/2021Last Updated8/19/2021Contact InformationPractice LocationPractice Address20 Chapel St, Wallingford, CT 06492-2213Phone(203) 741-9948FaxUnlisted FaxMailing LocationMailing Address20 Chapel St, Wallingford, CT 06492-2213Phone(203) 741-9948FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13261Connecticut