Individual
MISS KELLY JEAN SIMEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 JACKSON ST, SAINT PAUL, NE 68873-1413
(308) 754-5486
Mailing address
920 JACKSON ST, SAINT PAUL, NE 68873-1413
(308) 754-5486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
922
NE
Other
Enumeration date
05/28/2011
Last updated
05/28/2011
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