Individual
MANDY JOLENE SCHLESSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2005019093
MO
225100000X
Physical Therapist
PT 36445
CA
2255A2300X
Athletic Trainer
2004022186
MO
Other
Enumeration date
03/16/2007
Last updated
05/09/2014
Update your record
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