Individual ProviderKelly A DavisPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1400 Division St, Oregon City, OR 97045-1525(503) 656-0367PECOS EnrollmentBased on the most recent information from CMS, provider Kelly A Davis 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 10:05 AM.Profile DetailsProvider ID1831664002Provider TypeIndividualFull NameDavis, Kelly ACredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date10/3/2018Last Updated10/3/2018Contact InformationPractice LocationPractice Address1400 Division St, Oregon City, OR 97045-1525Phone(503) 656-0367FaxUnlisted FaxMailing LocationMailing Address1400 Division St, Oregon City, OR 97045-1525PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer