Individual
KELSEA ANNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976
Mailing address
157 LEWIS ST, NORTH POLE, AK 99705-7699
(907) 488-4978
(907) 488-4976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004613
IA
225100000X
Physical Therapist
2604
AK
Other
Enumeration date
10/20/2010
Last updated
07/11/2013
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