Individual
DR. KELSEY WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
94 MAIN ST, CASSVILLE, MO 65625-1610
(417) 847-6000
Mailing address
805 EUCLID AVE, MONETT, MO 65708-1622
(417) 669-2426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MO
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/01/2016
Last updated
04/20/2023
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