Individual
KELSEY ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
504 S. YELLOWSTONE LANE, MADISON, WI 53719
(715) 498-4729
Mailing address
16271 BEACH BLVD, HUNTINGTON BEACH, CA 92647-4102
(714) 375-1755
(714) 375-1757
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14969-24
WI
2251X0800X
Orthopedic Physical Therapist
295355
CA
Other
Enumeration date
09/10/2018
Last updated
06/09/2020
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