Individual
KENT KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
727 E REAGAN PKWY APT 215, MEDINA, OH 44256-1246
(330) 690-9021
Mailing address
727 E. REAGAN PARKWAY, APT 215, MEDINA, OH 44256
(330) 690-9021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA01677
OH
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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