Individual
KELSEY RYANN NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 PATEWOOD DR, STE C250, GREENVILLE, SC 29615-3593
(864) 454-0952
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7926
SC
Other
Enumeration date
09/01/2015
Last updated
11/09/2015
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