Individual
KELLIE C CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1000 RIVER RD, EUGENE, OR 97404
(541) 689-0935
(541) 461-6884
Mailing address
1000 RIVER RD, EUGENE, OR 97404
(541) 689-0935
(541) 461-6884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
60483
OR
2251X0800X
Orthopedic Physical Therapist
Primary
60483
OR
Other
Enumeration date
03/11/2014
Last updated
01/31/2025
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