Individual
KELSEY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2826
Mailing address
N6076 GRUENING LN, TOMAHAWK, WI 54487-8338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14659-24
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
05/02/2015
Last updated
10/12/2019
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