Individual
KELSEY RAE BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
809 W INTERSTATE AVE, BISMARCK, ND 58503-0964
(701) 323-6097
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13289
AZ
225100000X
Physical Therapist
Primary
2580
ND
Other
Enumeration date
01/22/2018
Last updated
01/29/2022
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