Individual
KELLY ANDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9430 WILLIAMSON RIVER RD, CHILOQUIN, OR 97624
(509) 435-3993
Mailing address
PO BOX 380, CHILOQUIN, OR 97624-0380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
63488
OR
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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