Individual
MRS. KELIE JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 8TH AVE N, HOPKINS, MN 55343
(952) 933-5085
(952) 931-2159
Mailing address
15 8TH AVE N, HOPKINS, MN 55343-7611
(952) 933-5085
(952) 931-2159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7809
MN
2255A2300X
Athletic Trainer
1937
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046953200
—
MN
Enumeration date
09/19/2006
Last updated
09/04/2018
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