| NPI | 1649784224 |
|---|---|
| Former Name | KELLY CHRISTINE NOTTINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305213767) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 62528) |
| Enumeration Date | 2017-11-19 |
| Last Update Date | 2025-02-24 |