Individual
KELSEY E ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
1401 GATEWAY BLVD, SUITE 2, ROCK SPRINGS, WY 82901-6717
(307) 352-3626
(307) 352-3628
Mailing address
1401 GATEWAY BLVD, SUITE 2, ROCK SPRINGS, WY 82901-6717
(307) 352-3626
(307) 352-3628
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1563
WY
Other
Enumeration date
02/11/2015
Last updated
10/19/2015
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