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1104336916
KELLY WEATHERBY
PUYALLUP, WA
NPI
1104336916
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Other Name
KELLY ALEXANDER YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT013181)
Enumeration Date
2017-10-06
Last Update Date
2023-04-11
Business Address
KELLY WEATHERBY PT, DPT
11019 CANYON RD E STE C
PUYALLUP, WA 98373-3001
Phone number: 253-286-3600
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Mailing Address
KELLY WEATHERBY PT, DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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