Individual
KIRSTEN N NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2604 E. CREEK'S EDGE DR., BLOOMINGTON, IN 47401
(812) 353-3343
(812) 353-3346
Mailing address
2604 E. CREEK'S EDGE DR., BLOOMINGTON, IN 47401
(812) 353-3343
(812) 353-3346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005978A
IN
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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