Individual
KELSEY LYN KETELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MSPT
Contact information
Practice address
621 TOPAZ ST, KEMMERER, WY 83101-3445
(307) 679-4894
Mailing address
621 TOPAZ ST, KEMMERER, WY 83101-3445
(307) 679-4894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0016556
CO
225100000X
Physical Therapist
0999
WY
225100000X
Physical Therapist
Primary
1326976
TX
225100000X
Physical Therapist
19316
NC
225100000X
Physical Therapist
2305212668
VA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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