Individual
KELLI INGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 BEDFORD ST, GARDNER, KS 66030-1185
(615) 896-6400
Mailing address
3453 SW BURLINGAME RD, TOPEKA, KS 66611-4017
(785) 845-4415
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T01260
KS
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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