Individual
KELCI GRIER RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
155 N DEAN RD, FARMERVILLE, LA 71241-7951
(318) 547-4300
Mailing address
155 N DEAN RD, FARMERVILLE, LA 71241
(318) 547-4300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8067
LA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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