Individual
KELSEY KATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
115 ATRIUM WAY, SUITE 232, COLUMBIA, SC 29223-6371
(803) 788-8499
(803) 788-8499
Mailing address
3210 MILLWOOD AVE APT B, COLUMBIA, SC 29205-1827
(616) 581-7963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6781
SC
Other
Enumeration date
07/13/2012
Last updated
11/15/2017
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