Individual
KELLI ANN HENRICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3721 GRIFFIN LN SE STE 101, OLYMPIA, WA 98501-2192
(360) 789-5384
(360) 918-9713
Mailing address
4250 MARTIN WAY E STE 105, PMB 236, OLYMPIA, WA 98516-5317
(360) 789-5384
(360) 918-9713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60028377
WA
Other
Enumeration date
08/12/2008
Last updated
04/28/2025
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