Individual
MRS. AMANDA MARLEEN KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
75 MINGES CREEK PL, BATTLE CREEK, MI 49015-4201
(269) 979-6365
Mailing address
75 MINGES CREEK PL, BATTLE CREEK, MI 49015-4201
(269) 979-6365
(269) 979-6374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017783
MI
225200000X
Physical Therapy Assistant
PTA 06181
OH
Other
Enumeration date
04/12/2007
Last updated
09/10/2020
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