Individual
KIERNAN JOAN KELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
14811 77TH AVE SE, SNOHOMISH, WA 98296-8438
(360) 668-5910
(360) 668-5910
Mailing address
14811 77TH AVE SE, SNOHOMISH, WA 98296-8438
(360) 668-5910
(360) 668-5910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009094
WA
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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