Individual
KELSEY MACTOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
521 INTERSTATE 45 S STE 4, HUNTSVILLE, TX 77340-5649
(936) 293-8800
Mailing address
521 INTERSTATE 45 S STE 4, HUNTSVILLE, TX 77340-5649
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2177868
TX
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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