Individual
KELLY R SLONE HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1604 PIKES PEAK AVE, COLORADO SPRINGS, CO 80919
(719) 630-3193
(719) 630-3195
Mailing address
2233 ACADEMY PLACE, STE 50, COLORADA SPRINGS, CO 80909
(719) 475-0808
(719) 475-8822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8072
CO
Other
Enumeration date
12/12/2005
Last updated
09/17/2010
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