Individual
JOHN KETZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2315 DOUGHERTY FERRY RD STE 209, SAINT LOUIS, MO 63122-3383
(314) 238-1130
(314) 238-1132
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028603
MO
Other
Enumeration date
06/27/2018
Last updated
12/03/2024
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