Individual
KELLY A PARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-3100
(920) 729-3167
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12780
WI
Other
Enumeration date
10/25/2017
Last updated
03/17/2018
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