| NPI | 1295302867 |
|---|---|
| Former Name | KELSEY PALACIOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1348739) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 3126999) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-06-24 |