Individual
KELSEY BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
617 E RIVERSIDE DR, ST GEORGE, UT 84790-8719
(435) 673-4303
Mailing address
410 SUGAR LEO RD, ST GEORGE, UT 84790-7947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13744528-2401
UT
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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