Individual
KELSEY PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
1112 GALLIA ST, PORTSMOUTH, OH 45662-4161
(740) 354-5440
Mailing address
9804 STATE ROUTE 125, WEST PORTSMOUTH, OH 45663-8983
(740) 821-6570
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020190
OH
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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