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General NPI Number Information
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NPI Number | 1457611857
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Entity Type | Individual
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Provider Name | KELSEY RENE MOLLER DPT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2000 W MARINE VIEW DR BLDG 2010
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City | EVERETT
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State | WA
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Zip | 98207-5000
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Country | US
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Telephone | 425-304-4096
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 16TH ST
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City | DENVER
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State | CO
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Zip | 80202-1470
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Country | US
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Telephone | 877-807-8277
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 60273291
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60273291
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License Number State | WA
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