| NPI | 1558925958 |
|---|---|
| Former Name | KELSEY MEANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: KS 14-03683) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OK 2253) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2021-08-05 |