Individual
KAREN KAY WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
719 S ROGERS ST, SUITE B, BLOOMINGTON, IN 47403-2332
(812) 323-4475
(812) 323-4478
Mailing address
719 S ROGERS ST, SUITE B, BLOOMINGTON, IN 47403-2332
(812) 323-4475
(812) 323-4478
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003173A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200908750
—
IN
Enumeration date
08/19/2008
Last updated
10/13/2008
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