| NPI | 1801364609 |
|---|---|
| Former Name | KELSEY LYNN CROWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT60885886) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2022-10-18 |