Individual
KELSEY KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
244 HEITKAMP RD, MINSTER, OH 45865-9745
(419) 953-7516
Mailing address
244 HEITKAMP RD, MINSTER, OH 45865-9745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA013556
OH
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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