Individual
MRS. KELLIE LINN CONNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331
(360) 374-6271
(360) 374-2520
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331
(360) 374-6271
(360) 374-2520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62705
OR
225100000X
Physical Therapist
Primary
PT60914300
WA
Other
Enumeration date
10/04/2018
Last updated
08/21/2024
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