Individual
KELLI LOUISE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11011 VILLAGE SQUARE LN, FISHERS, IN 46038-4559
(317) 842-4215
Mailing address
5013 SAINT CHARLES PL, CARMEL, IN 46033-5939
(317) 695-3179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011815A
IN
Other
Enumeration date
06/25/2022
Last updated
06/25/2022
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