Individual
KELLY WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11019 CANYON RD E STE C, PUYALLUP, WA 98373-3001
(253) 286-3600
(253) 286-3444
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013181
GA
Other
Enumeration date
10/06/2017
Last updated
04/11/2023
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