MS. Lisa Marie Aanonsen Kellogg, PT, DPT

NPI #1275727950 in Basalt, Colorado

Provider Information

NPI Number
1275727950
Entity Type
Individual
Name
MS. Lisa Marie Aanonsen Kellogg, PT, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapist
Credential
PT, DPT
Enumeration Date
Sep 5, 2007
Last Updated
Aug 23, 2021

Practice Location

Address
374 SOPRIS CIR
City
Basalt
ZIP Code
81621-8373
Phone
(970) 456-3612

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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