STACIE KELLOGG

RAPID CITY, SD
NPI1902354871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: SD  1168)
Enumeration Date2016-09-20
Last Update Date2016-09-20
Business Address
Ms. STACIE KELLOGG MPT
21 SAINT JOSEPH ST
RAPID CITY, SD 57701-2822
Phone number: 605-394-1813
Mailing Address
Ms. STACIE KELLOGG MPT
300 6TH ST
RAPID CITY, SD 57701-5034
Phone number: 605-394-1813
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