Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael T Kelly DC PA

Organization Chiropractor · NPI 1053669788

Michael T Kelly DC PA is a Chiropractor in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1295 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5365
Phone: (772) 785-8500
Fax: (772) 785-8511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH0007060 (FL)

Record details

NPI number1053669788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Kelly — Owner · (772) 785-8500
NPI enumeratedAugust 28, 2012
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address1295 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5365

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