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Kelsey Anderwald

Physical Therapist in San Antonio, TX. Individual provider (NPI-1).

NPI number1164056388
StatusActive
Last updated in NPPESMar 15, 2022

Details

NPI
1164056388
Entity type
Individual (NPI-1)
Name
Kelsey Anderwald
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2020
Certification date
Mar 15, 2022
Last updated
Mar 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1279342TXYes
225100000X Physical Therapist––
225100000X Physical Therapist40QA01982700NJ
225100000X Physical Therapist299915CA
225100000X Physical Therapist5501019984MI
225100000X Physical Therapist070.025845IL
225100000X Physical TherapistPT37386FL
225100000X Physical TherapistPT03404RI
225100000X Physical Therapist13243CT
225100000X Physical TherapistJ1-0014418DE
225100000X Physical Therapist048334NY

Other names

  • Kelsey Ybarra (Former Name)

Practice location

2140 Babcock Rd Ste 130
San Antonio, TX 78229-4400

Phone 210-614-7953

Mailing address

65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096

Phone 385-308-8034

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