| NPI | 1275183048 | 
|---|---|
| Former Name | KELLI MCGEE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305214237) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501019265) | 
| Enumeration Date | 2019-09-13 | 
| Last Update Date | 2021-08-17 |