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1629358387
KEISHA ELLIS
CAMPBELLSVILLE, KY
NPI
1629358387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 003910)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
-- KEISHA ELLIS PT
105 LAURA SUE HUMPHRESS DR
CAMPBELLSVILLE, KY 42718-8899
Phone number: 270-465-7768
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Mailing Address
-- KEISHA ELLIS PT
514 TURKEY RUN RD
CAMPBELLSVILLE, KY 42718-4929
Phone number: 270-463-6173
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