Kellie Audra Banfield, DPT

NPI #1093059743 in Evanston, Illinois

Provider Information

NPI Number: 1093059743
Entity Type: Individual
Name: Kellie Audra Banfield, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 19, 2012
Last Updated: Apr 12, 2016

Practice Location

Address: 805 DAVIS ST
City: Evanston
State: Illinois
ZIP Code: 60201-4401
Phone: (847) 864-1535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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