Individual
KEVIN WESLEY MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1802 S UNION AVE STE 100, TACOMA, WA 98405-1950
(253) 759-1310
(253) 759-1330
Mailing address
1802 S UNION AVE STE 100, TACOMA, WA 98405-1950
(253) 759-1310
(253) 759-1330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60785802
WA
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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