Kelci Wysor-Tisch

NPI #1699411876 in Justin, Texas

Provider Information

NPI Number
1699411876
Entity Type
Individual
Name
Kelci Wysor-Tisch
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 10, 2022
Last Updated
Aug 16, 2024

Practice Location

Address
2001 TEXAN DR
City
Justin
State
Texas
ZIP Code
76247-8791
Phone
(815) 215-0000

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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