Individual
KELLY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14042 COOK ST, THORNTON, CO 80602-8886
(763) 229-7105
Mailing address
14042 COOK ST, THORNTON, CO 80602-8886
(763) 229-7105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012264
CO
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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