Thalassa Amber Kettering

NPI #1164150546 in Hemet, California

Provider Information

NPI Number: 1164150546
Entity Type: Individual
Name: Thalassa Amber Kettering
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 12, 2022
Last Updated: Aug 12, 2022

Practice Location

Address: 2400 W ACACIA AVE
City: Hemet
State: California
ZIP Code: 92545-3743
Phone: (951) 766-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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