Individual
DR. KELLI JO THESIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
20284 COUNTY ROUTE 45, CARTHAGE, NY 13619-9502
(315) 778-3054
Mailing address
20284 COUNTY ROUTE 45, CARTHAGE, NY 13619-9502
(315) 778-3054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011-059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C11059-5W
WORKMAN COMP-NO FAULT
NY
Enumeration date
04/02/2007
Last updated
08/14/2023
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