Individual
KELSEY WAGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-5600
Mailing address
34505 W 12 MILE RD STE 200, FARMINGTON HILLS, MI 48331-3286
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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