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

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