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Individual

KELLY JEAN DESSELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC

Contact information

Practice address
1207 NW PAMELA BLVD, GRAIN VALLEY, MO 64029-7844
(816) 867-6022
Mailing address
1207 NW PAMELA BLVD, GRAIN VALLEY, MO 64029-7844
(816) 867-6022

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07642
KS
225100000X
Physical Therapist
Primary
2025021797
MO

Other

Enumeration date
06/18/2024
Last updated
05/05/2026
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