Individual
KELLI THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4141 COMMON ST, LAKE CHARLES, LA 70607-4501
(337) 990-5621
(337) 990-5623
Mailing address
4141 COMMON ST, LAKE CHARLES, LA 70607-4501
(337) 990-5621
(337) 990-5623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09943R
LA
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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