| NPI | 1053829390 |
|---|---|
| Former Name | KELSEY E SWALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 15700-24) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 10886) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-02-21 |