Individual
MR. KELLY GERRIT VREDEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2852 N NAVAJO DR STE A, PRESCOTT VALLEY, AZ 86314-4966
(928) 772-9797
(928) 772-9340
Mailing address
2852 N NAVAJO DR STE A, PRESCOTT VALLEY, AZ 86314-4966
(928) 772-9797
(928) 772-9340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5810
AZ
Other
Enumeration date
06/02/2006
Last updated
07/10/2024
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