Individual
KELLI MARCHELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
(920) 803-1617
(920) 803-1622
Mailing address
2131 S BUSINESS DR, SHEBOYGAN, WI 53081-5656
(920) 803-1617
(920) 803-1622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11865-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41813000
—
WI
Enumeration date
10/10/2011
Last updated
10/10/2011
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