Organization
KELLYROSE THOMAS PLLC
Active
Other names
Peregrine Performance
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY THOMAS DPT (OWNER)
(850) 812-0329
Entity
Organization
Contact information
Practice address
400 WEST MIDLAND AVENUE, SUITE 160B, WOODLAND PARK, CO 80863
(719) 286-9768
Mailing address
1067 W. US HWY 24, UNIT 140, WOODLAND PARK, CO 80863
(919) 685-7849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
02/22/2023
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