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Individual
THOMAS KELZER
Active
Individual
THOMAS KELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS.ATC/PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003193A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00155847
RAILROAD MEDICARE
IN
Enumeration date
11/07/2005
Last updated
11/09/2018
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