Individual
KELSEY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
320 S VINE ST, WEST UNION, IA 52175-1437
(309) 373-0443
Mailing address
320 S VINE ST, WEST UNION, IA 52175-1437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004995
IA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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