Chelsea Renae Storm

NPI #1316438963 in Shelbyville, Illinois

Provider Information

NPI Number: 1316438963
Entity Type: Individual
Name: Chelsea Renae Storm
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 18, 2018
Last Updated: May 18, 2018

Practice Location

Address: 1111 W NORTH 12TH ST
City: Shelbyville
State: Illinois
ZIP Code: 62565-9554
Phone: (217) 774-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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