Individual
KELLI RENAE PETTIJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLLEGE AVE, MANHATTAN, KS 66502-2770
(785) 539-9669
Mailing address
31015 K18 HWY, WAMEGO, KS 66547-8024
(785) 577-4881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03179
KS
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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