Individual
KELSEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13509
WI
Other
Enumeration date
08/03/2016
Last updated
12/31/2021
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