| NPI | 1457738957 |
|---|---|
| Former Name | KELSEY DANIELLE STAUFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60571939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SD 1820) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-03-09 |