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

Individual provider Physical Therapy Assistant · NPI 1538561600

Kellie Bywater is a Physical Therapy Assistant in Forest Grove, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
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Practice location Address checks out

3900 Pacific Ave
Forest Grove, OR 97116-2226
Phone: (503) 359-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9062 (OR)

Record details

NPI number1538561600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 20, 2014
Last updated in NPPESSeptember 20, 2014
Mailing address25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697

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