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Individual

KAYLYNNE B. EZZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
718 N MAIN ST, UNIT # 18, GUNNISON, CO 81230-2412
(970) 641-3298
(970) 641-7369
Mailing address
718 N MAIN ST, UNIT # 18, GUNNISON, CO 81230-2412
(970) 641-3298
(970) 641-7369

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9780
CO

Other

Enumeration date
12/12/2007
Last updated
10/18/2012
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