Individual
KELSIE BRANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 W 10TH ST, SEDALIA, MO 65301-2113
(660) 826-2118
Mailing address
10389 HIGHWAY A, MORA, MO 65345-2116
(660) 287-0524
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015036820
MO
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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