LISA MARIE AANONSEN KELLOGG

BASALT, CO
NPI1275727950
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CO  7897)
Enumeration Date2007-09-05
Last Update Date2021-08-23
Business Address
Ms. LISA MARIE AANONSEN KELLOGG PT, DPT
374 SOPRIS CIR
BASALT, CO 81621-8373
Phone number: 970-456-3612
Mailing Address
Ms. LISA MARIE AANONSEN KELLOGG PT, DPT
PO BOX 589
BASALT, CO 81621-0589
Phone number: 970-456-3612
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