Kelli Renae Pettijohn Valid NPI

Individual provider · Physical Therapy Assistant · Manhattan, KS

NPI

1417439977

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

14-03179 (KS)

Sex

Female

Sole proprietor

No

Enumerated

2018-08-31

Last updated

2018-08-31