Individual
MRS. KELSI RANAE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
701 STOCK ST, BIG TIMBER, MT 59011-8071
(406) 932-2451
Mailing address
PO BOX 1228, BIG TIMBER, MT 59011-1228
(406) 932-2451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-1764
MT
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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