Individual
MISS KELSIE LEE JANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6385 RIDGELINE DR UNIT C, COLD SPRING, KY 41076-9310
(513) 612-0969
Mailing address
6385 RIDGELINE DR APT C, COLD SPRING, KY 41076
(513) 612-0969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02461
KY
225200000X
Physical Therapy Assistant
PTA. 07043
OH
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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