Individual
LISA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ARBOR TER, FENTON, MO 63026-3900
(636) 343-0016
Mailing address
3383 BRADFORD LN, ARNOLD, MO 63010-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01567
MO
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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