Kelsey Shae Bloemker

NPI #1912669813 in Cisne, Illinois

Provider Information

NPI Number: 1912669813
Entity Type: Individual
Name: Kelsey Shae Bloemker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 7, 2021
Last Updated: Oct 7, 2021

Practice Location

Address: 107 WATKINS ST
City: Cisne
State: Illinois
ZIP Code: 62823
Phone: (618) 673-2177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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