| NPI | 1790719383 |
|---|---|
| Former Name | KELLY A ECKOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1130664) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2024-03-19 |