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

Mr. Clayton Kellerman, PTA

Individual provider Physical Therapy Assistant · NPI 1619418126

Mr. Clayton Kellerman, PTA is a Physical Therapy Assistant in Osawatomie, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1615 Parker Ave
Osawatomie, KS 66064-1703
Phone: (913) 755-4165
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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 14-02341 (KS)

Record details

NPI number1619418126
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 16, 2017
Last updated in NPPESMarch 16, 2017
Mailing address12528 S Acuff Ct, Olathe, KS 66062-5984

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