Individual
MRS. KELSEY FALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC, LAT
Contact information
Practice address
775 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-2166
(859) 572-1689
Mailing address
775 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-2166
(859) 572-1689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03736
KY
225200000X
Physical Therapy Assistant
PTA011628
OH
2255A2300X
Athletic Trainer
AT.004854
OH
2255A2300X
Athletic Trainer
AT1326
KY
Other
Enumeration date
12/21/2015
Last updated
12/19/2022
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