Individual
MRS. KELLY EILEEN MAUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1109 JADWIN AVE, RICHLAND, WA 99352-3434
(509) 946-8497
(509) 946-8767
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770659427
—
WA
Enumeration date
11/27/2006
Last updated
11/03/2010
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