Individual
KELSEY ANN SHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
825 CHALKSTONE AVE, PROVIDENCE, RI 02908-4728
(401) 456-2000
Mailing address
401 S BRYANT ST, NIXA, MO 65714-8217
(417) 459-9806
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-07457
KS
225100000X
Physical Therapist
Primary
2021026398
MO
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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