Individual
KALLEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8011 112TH STREET CT E, PUYALLUP, WA 98373-7814
(253) 848-0662
Mailing address
PO BOX 157, COWLEY, WY 82420-0157
(307) 202-2264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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