| NPI | 1144846924 |
|---|---|
| Former Name | KELSEY KEENER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 125276) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070025189) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2024-05-10 |