Individual
KERSTIE KNEELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(541) 857-7777
Mailing address
1766 SHELDON AVE, MEDFORD, OR 97501-4553
(541) 778-0072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02876
OR
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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