Individual
KELLY EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
(253) 759-3621
Mailing address
3919 S 19TH ST, TACOMA, WA 98405-1414
(253) 752-5677
(253) 759-3621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008870
WA
Other
Enumeration date
10/25/2007
Last updated
03/17/2009
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