Individual
KELSEY LAUREN RICKABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
211 VAN SCOYOC AVE SW, ORTING, WA 98360
(360) 872-0315
Mailing address
211 VAN SCOYOC AVE SW, ORTING, WA 98360
(360) 872-0315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60449641
WA
Other
Enumeration date
07/03/2014
Last updated
05/19/2016
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