Individual
KELSEY DETTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11780 OLIO RD STE 100, FISHERS, IN 46037-7617
(317) 594-1800
(317) 594-8500
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011676A
IN
Other
Enumeration date
12/09/2014
Last updated
07/21/2022
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