Individual
DR. KELLY K. FOSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PHD, OCS
Contact information
Practice address
5200 E CORTLAND BLVD STE C1, FLAGSTAFF, AZ 86004-9341
(928) 440-5094
(928) 440-5097
Mailing address
5200 E CORTLAND BLVD STE C1, FLAGSTAFF, AZ 86004-9341
(928) 440-5094
(928) 440-5097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6966
AZ
Other
Enumeration date
06/25/2006
Last updated
02/24/2026
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