Individual
MRS. ALYSSA RAE KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
120 S 17TH ST, WORLAND, WY 82401-3637
(307) 347-4001
Mailing address
501 S 15TH ST, WORLAND, WY 82401-3500
(307) 431-6187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0858
WY
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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