Individual
MS. KELLI BADEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8000 FRANKFORD RD, DALLAS, TX 75252-6834
(972) 232-8096
(972) 656-3439
Mailing address
8000 FRANKFORD RD, DALLAS, TX 75252-6834
(972) 232-8096
(972) 656-3439
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2090212
TX
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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