Individual
MRS. KELLIE CHRISTINA ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1910 NURSING HOME RD, OWENSVILLE, MO 65066-2844
(573) 437-4055
Mailing address
1769 FAWN CIR, PACIFIC, MO 63069-4456
(636) 271-2009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102166
MO
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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