Individual
KELSEY GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
550 N. 19TH ST, LINCOLN, NE 68588-0006
(402) 572-5000
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3700
NE
Other
Enumeration date
05/11/2017
Last updated
05/01/2019
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