Individual
KELSEY TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 ANDREWS HWY, MIDLAND, TX 79703-4823
(432) 520-5600
Mailing address
4311 ANDREWS HWY, MIDLAND, TX 79703-4823
(432) 520-5600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113297
TX
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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