Individual
KELLY DEKALB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5161 E ARAPAHOE RD, 250, CENTENNIAL, CO 80122-2387
(303) 694-6378
(303) 694-6379
Mailing address
7468 S KRAMERIA ST, CENTENNIAL, CO 80112-1540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8975
CO
Other
Enumeration date
07/19/2006
Last updated
09/24/2021
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