Individual
KELSEY S DEMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W HARRISON ST, MOORESVILLE, IN 46158-1630
(317) 372-4850
Mailing address
25 W HARRISON ST, MOORESVILLE, IN 46158-1630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004731A
IN
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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