Most Relevant Information
Provider Data
| NPI Number: | 1003492380 |
| Provider Name: | KELSEY DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 3003 |
Most Important Dates
| Enumeration Date: | 03/18/2021 |
| Last Updated: | 03/18/2021 |
Provider Practice Location
1107 W BROADWAY ST
ARDMORE
OK
734012833
Practice Location Phone/Fax
| Phone: | 5802265566 |
| Fax: |
Provider Mailing Location
1405 4TH AVE NW # 296
ARDMORE
OK
734012708
Provider Mailing Phone/Fax
| Phone: | 5802265566 |
| Fax: |