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

Individual provider Physical Therapist · NPI 1578186763

Kelli Black, PT, DPT is a Physical Therapist in Macon, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

701 Sunset Hills Dr
Macon, MO 63552-2165
Phone: (660) 385-3113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 401 Corporate Park Dr, Clayton, MO 63105-4201 — (314) 725-7447

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019042022 (MO)

Record details

NPI number1578186763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address1001 Old Olive Way Apt 108, Creve Coeur, MO 63141-5948

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