Individual
KELSEY YVONNE ANDRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(928) 214-7303
(928) 214-0696
Mailing address
1510 S RIORDAN RANCH ST, FLAGSTAFF, AZ 86001-6372
(866) 991-0900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304228
—
AZ
Enumeration date
05/25/2017
Last updated
05/11/2021
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