| NPI | 1356728125 |
|---|---|
| Former Name | KELLY KINDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 32221) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1522) |
| 225100000X Physical Therapist | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-06-24 |