Individual
KELSEY BOURDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 S 2ND ST, ROGERS, AR 72756-4544
(479) 925-9300
Mailing address
1 MAYFAIR DR, BELLA VISTA, AR 72715-5390
(904) 403-4108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4694
AR
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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