Kelli Kaprice Cannon, P.T.

NPI #1780037960 in Enid, Oklahoma

Provider Information

NPI Number: 1780037960
Entity Type: Individual
Name: Kelli Kaprice Cannon, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Jul 22, 2016
Last Updated: Jul 22, 2016

Practice Location

Address: 1121 CHANTELL ST
City: Enid
State: Oklahoma
ZIP Code: 73703-2940
Phone: (580) 484-3059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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