Individual
KELSEY SHAE EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(866) 221-5405
Mailing address
3645 RIALTO HTS APT 233, COLORADO SPRINGS, CO 80907-8646
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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