Individual
KELLI STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 W TETON BLVD, GREEN RIVER, WY 82935-6040
(303) 588-2838
Mailing address
14442 18TH ST NW, ALEXANDER, ND 58831-9595
(303) 588-2838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1363A
ND
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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