Individual
MR. KELLY R. OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3277 E LOUISE DR, SUITE 410, MERIDIAN, ID 83642-9359
(208) 489-5800
(208) 489-4065
Mailing address
3277 E LOUISE DR, SUITE 410, MERIDIAN, ID 83642-9359
(208) 489-5800
(208) 489-4065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT610
ID
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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