Individual
KASEY ELLERBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 BELMONT ST, SIDNEY, OH 45365-1707
(937) 497-2275
Mailing address
425 BELMONT ST, SIDNEY, OH 45365-1707
(937) 497-2275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20253092-SP
OH
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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