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Individual
TRACY L KELLER
Active
Individual
TRACY L KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1141
ND
225100000X
Physical Therapist
Primary
7331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037H4LU
MNBS #
ND
01
—
26770
NDBS #
ND
05
—
54087
—
ND
01
—
6406051
MEDICA #
ND
01
—
DA9011015523
PREFERRED ONE #
ND
01
—
HP53308
HEALTHPARTNERS #
ND
Enumeration date
06/01/2006
Last updated
11/20/2017
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