Kelly Lauren Loos, DPT

NPI #1942573415 in Springfield, Illinois

Provider Information

NPI Number: 1942573415
Entity Type: Individual
Name: Kelly Lauren Loos, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 320 E CARPENTER ST STE 1B
City: Springfield
State: Illinois
ZIP Code: 62702-5165
Phone: (217) 744-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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