Individual
SHEILA ANN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2501 ALLENTOWN RD, PEKIN, IL 61554-9401
(309) 347-3121
Mailing address
39 KENTON ST, MACKINAW, IL 61755-9106
(309) 253-6683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004992
IL
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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