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Kelly Haisley, PTA
NPI 1821589607 · on the registry since 2018
Practice
- Address
- 13420 5c Rd
Plymouth, IN 46563 - Phone
- (574) 276-6476
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- VA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana