Individual
TRACY RAI KELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
1187 NW 208TH TER, BEAVERTON, OR 97006-6684
(503) 704-3553
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5239
OR
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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