MRS. Kelli Dawn Grismer, PTA

NPI #1891988804 in Watertown, South Dakota

Provider Information

NPI Number: 1891988804
Entity Type: Individual
Name: MRS. Kelli Dawn Grismer, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 215 2ND ST NE
City: Watertown
State: South Dakota
ZIP Code: 57201-2512
Phone: (605) 882-3724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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