Individual
KELLI ANN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2546 RIVER ROAD DR BLDG C, WATERLOO, NE 68069-2067
(531) 444-8945
(402) 769-2908
Mailing address
2546 RIVER ROAD DR BLDG C, WATERLOO, NE 68069-2067
(531) 444-8945
(402) 769-2908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
729
NE
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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