Individual
KELSI LYN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
800 NW MAIN ST STE 100, LEES SUMMIT, MO 64086-9301
(816) 524-7040
(816) 524-7057
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05949
KS
225100000X
Physical Therapist
Primary
2018025702
MO
Other
Enumeration date
07/05/2018
Last updated
07/06/2022
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