Individual
JUDITH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(206) 619-4330
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60879985
WA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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