Individual
KELLIE DAWN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3078 E NEW DISCOVERY RD, ROCKVILLE, IN 47872-7011
(812) 564-1128
Mailing address
3078 E NEW DISCOVERY RD, ROCKVILLE, IN 47872-7011
(812) 564-1128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003161A
IN
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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