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Individual
KELSEY THOMPSON
Active
Individual
KELSEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16216
WI
2251X0800X
Orthopedic Physical Therapist
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231612
—
WI
Enumeration date
03/13/2023
Last updated
03/12/2024
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