Individual
KELSEY MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 EGG HARBOR RD STE 152, STURGEON BAY, WI 54235-1248
(920) 746-0410
Mailing address
1300 EGG HARBOR RD STE 152, STURGEON BAY, WI 54235-1248
(920) 746-0410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15479-24
WI
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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