Individual
KELSEY LARSON KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT, OCS, ATC
Contact information
Practice address
544 YELLOWSTONE AVE, CODY, WY 82414-9300
(307) 587-9789
(307) 587-9787
Mailing address
544 YELLOWSTONE AVE, CODY, WY 82414-9300
(307) 587-9789
(307) 587-9787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1033
WY
Other
Enumeration date
07/06/2011
Last updated
01/25/2021
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