KELLI SUZANNE GREEN

SCOTTSBLUFF, NE
NPI1386922110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NE  557)
Enumeration Date2011-07-27
Last Update Date2011-07-27
Business Address
MRS. KELLI SUZANNE GREEN PTA
111 W 36TH ST
SCOTTSBLUFF, NE 69361-4636
Phone number: 308-635-2019
Mailing Address
MRS. KELLI SUZANNE GREEN PTA
2202 HIGHLAND DR
SCOTTSBLUFF, NE 69361-4809
Phone number: 402-616-3389