Individual
KELLI MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1425 BELMONT DR, LONGMONT, CO 80503-2358
(303) 772-9292
Mailing address
100 CAMBRIDGE LN, MANCHESTER, TN 37355-2877
(512) 986-0782
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7630
TN
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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