| NPI | 1780113431 |
|---|---|
| Former Name | KELSEY RENEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH10370) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012883) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-07-07 |