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

Kelley Jordan Puckett, PT

Individual provider Physical Therapist · NPI 1619343589

Kelley Jordan Puckett, PT is a Physical Therapist in Lexington, South Carolina. Licensed in Minnesota and South Carolina. Registered with an NPI since 2015.

Licensed in
MN, SC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

364 Longs Pond Rd Ste H
Lexington, SC 29073-7942
Phone: (803) 358-9400
Fax: (803) 358-9898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8745 (SC)
Physical Therapist Taxonomy 225100000X · Licence 10118 (MN)

Record details

NPI number1619343589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 14, 2015
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026

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