Individual
KELLIE ZEPEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 CHERRY AVE NE, KEIZER, OR 97303-4859
(503) 390-9009
Mailing address
200 NW 53RD ST UNIT 20, CORVALLIS, OR 97330-2967
(541) 571-0766
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65540
OR
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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