Individual
KELSY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
901 SW HIGGINS AVE, MISSOULA, MT 59803-3600
(253) 590-3920
Mailing address
42881 FLATHEAD VIEW DR, POLSON, MT 59860-7920
(253) 590-3920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTP-OTA-LIC-8892
MT
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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