NPI 1386922110

Kelli Suzanne Green, PTA

Practitioner Physical Therapy Assistant Scottsbluff, NE

Practice location

Address: 111 W 36th St, Scottsbluff, NE 69361-4636
Phone: (308) 635-2019
Mailing address: 2202 Highland Dr, Scottsbluff, NE 69361-4809

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 557 (NE)

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Registry record

NPI: 1386922110
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2011
Record last updated: 27 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.