KELLY K RUNYON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009356

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

RUNYON

Business Name

KELLY K RUNYON

Original Issue Date

08/16/2021

Effective Date

09/04/2025

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

09/04/2025