Individual
KELSEY BRAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5520 COLLEGE BLVD, LEAWOOD, KS 66211-1630
(913) 696-5010
Mailing address
2401 GILLHAM ROAD, ATTN: PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03006
KS
Other
Enumeration date
05/31/2017
Last updated
12/12/2023
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