Individual
MISS KELLI KAY HORTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Mailing address
100 LAKE TRAVERSE DR, SISSETON, SD 57262-7046
(605) 698-7606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1203
SD
225100000X
Physical Therapist
7144
MN
2255A2300X
Athletic Trainer
1950
MN
Other
Enumeration date
05/20/2007
Last updated
07/23/2016
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