Kelly Waack, DPT

NPI #1811433576 in Moline, Illinois

Provider Information

NPI Number
1811433576
Entity Type
Individual
Name
Kelly Waack, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jan 18, 2017
Last Updated
Dec 12, 2018

Practice Location

Address
850 43RD AVE
Address 2
SUITE 100
City
Moline
ZIP Code
61265-8401
Phone
(309) 743-2070

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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