Individual
KELSEY SHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
121 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 730-1601
Mailing address
121 CHESTERFIELD TOWNE CTR, CHESTERFIELD, MO 63005-1230
(636) 730-1601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2016023765
MO
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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