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

Individual provider Occupational Therapist · NPI 1902962624

Kelley Broyld, BS is an Occupational Therapist in Dallas, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

155 Palisades Dr
Dallas, GA 30157-0927
Phone: (404) 579-8307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT003284 (GA)

Record details

NPI number1902962624
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorYes
NPI enumeratedDecember 28, 2006
Last updated in NPPESApril 13, 2012
Mailing address155 Palisades Dr, Dallas, GA 30157-0927

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