Individual
CARRIE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10653 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1543
(952) 224-1919
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
03/24/2021
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