KELLEY LEIGH EAVENSON

BAD AXE, MI
NPI1851168678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502007923)
Enumeration Date2023-12-11
Last Update Date2023-12-11
Business Address
KELLEY LEIGH EAVENSON PTA
1167 E HOPSON ST
BAD AXE, MI 48413-1555
Phone number: 989-269-9983
Mailing Address
KELLEY LEIGH EAVENSON PTA
4460 SEBEWAING RD
OWENDALE, MI 48754-9797
Phone number: 706-680-8655
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