Individual
MRS. KELLY SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5250
Mailing address
HC 61 BOX 60, HARDIN, IL 62047-9718
(618) 576-2870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003044
IL
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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