Individual
KELLIE SUE PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N 12TH ST, GUTHRIE CENTER, IA 50115-1536
(641) 332-3810
Mailing address
2584 130TH ST, BAGLEY, IA 50026-8522
(712) 790-0709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000791
IA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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