Most Relevant Information
Provider Data
| NPI Number: | 1003482787 |
| Provider Name: | KELSEY J PECK PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2021 |
| Last Updated: | 06/02/2021 |
Provider Practice Location
720 W MAIN ST STE 102
BATTLE GROUND
WA
986044474
Practice Location Phone/Fax
| Phone: | 3602546161 |
| Fax: | 3604491146 |
Provider Mailing Location
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER
WA
986643295
Provider Mailing Phone/Fax
| Phone: | 3602546161 |
| Fax: | 3604491146 |