Individual
KELSEA JANELLE WEBER HULSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
371 SW UPPER TERRACE DR STE 3, BEND, OR 97702-1560
(541) 316-0805
Mailing address
371 SW UPPER TERRACE DR STE 3, BEND, OR 97702-1560
(541) 316-0805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63261
OR
Other
Enumeration date
08/07/2019
Last updated
08/06/2024
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