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Individual
MR. KELLY L MAPES
Active
Individual
MR. KELLY L MAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1131290
TX
225100000X
Physical Therapist
Primary
306286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183477202
—
TX
Enumeration date
12/23/2008
Last updated
11/04/2024
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