Individual
MS. KELLY DOWNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3410 MAGNOLIA ST, TEXARKANA, TX 75503-3729
(903) 792-3003
(903) 794-1005
Mailing address
3410 MAGNOLIA ST, TEXARKANA, TX 75503-3729
(903) 792-3003
(903) 794-1005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088520
TX
Other
Enumeration date
12/06/2012
Last updated
12/07/2012
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