Individual
KELSEY D NOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3823 HIGHWAY 80 EAST SUITE 1100, PEARL, MS 39208
(769) 257-6194
(769) 257-6384
Mailing address
8205 PRESIDENTS DRIVE, HUMMELSTOWN, PA 17036-8621
(717) 839-2188
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6711
MS
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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