| NPI | 1841603420 |
|---|---|
| Former Name | KELSEY CLEVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501016777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05011760A) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-08-21 |