Individual
KELSEY JO MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1707
Mailing address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
GA
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2012
Last updated
07/21/2022
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