Individual
KELSEY MARIE COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 S 2ND AVE, WALLA WALLA, WA 99362-4116
(509) 897-2100
(509) 897-5752
Mailing address
PO BOX 32, LIBERTY LAKE, WA 99019-0032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
03/24/2022
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