| NPI | 1336194158 |
|---|---|
| Former Name | KERRY K BEARDSLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60119190) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 1916-PT) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-05-02 |