Individual
MS. KELLIE LOUISE MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, SCS
Contact information
Practice address
2710 E 57TH AVE, SPOKANE, WA 99223-6678
(509) 252-2354
Mailing address
2710 E 57TH AVE, SPOKANE, WA 99223-6678
(509) 252-2354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT60723998
WA
225100000X
Physical Therapist
PT6382
MS
2251S0007X
Sports Physical Therapist
Primary
PT60723998
WA
Other
Enumeration date
09/12/2017
Last updated
07/20/2021
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