Individual
KELSEY J DEVEREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4606 N COLLEGE DR, CHEYENNE, WY 82009-5456
(307) 414-8394
Mailing address
540 FALCON CREST DR, SPEARFISH, SD 57783-3252
(605) 491-2832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2035
WY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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