Individual
KELLSEY RAE DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
(207) 662-6006
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
(207) 662-6006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6240
ME
Other
Enumeration date
07/22/2022
Last updated
02/11/2026
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