Individual
MRS. KELLI MICHELLE HOWARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-7990
Mailing address
710 E CURRENT DR, OZARK, MO 65721-4241
(417) 582-1638
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
2004018744
MO
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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