Individual
MRS. KELLI JO YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
444 FOUR STATES DR, GALENA, KS 66739-4324
(620) 783-4111
(620) 783-4112
Mailing address
444 FOUR STATES DR, GALENA, KS 66739-4324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008020504
MO
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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