Individual
CHANDIMA KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-7729
Mailing address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-7729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004573
IA
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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