Individual
KELLI MARIE SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
235 WEALTHY, GRAND RAPIDS, MI 49504
(616) 840-8000
Mailing address
1151 VAN ESS AVE NW, GRAND RAPIDS, MI 49504
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
5501016904
MI
Other
Enumeration date
03/01/2018
Last updated
10/01/2019
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