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Individual
MS. KELLIE LOUISE MILLAN
Active
Individual
MS. KELLIE LOUISE MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, SCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT60723998
WA
225100000X
Physical Therapist
PT6382
MS
2251S0007X
Sports Physical Therapist
Primary
PT60723998
WA
Other
Enumeration date
09/12/2017
Last updated
07/20/2021
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