Individual
JENNIFER E CELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
551 N HILLSIDE ST, STE 510, WICHITA, KS 67214-4923
(316) 685-0559
(316) 685-0455
Mailing address
PO BOX 3951, WICHITA, KS 67201-3951
(316) 685-0559
(316) 685-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200257560A
—
KS
Enumeration date
06/17/2006
Last updated
11/29/2010
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