Individual
MARY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2190 NEW HOLT RD STE D, PADUCAH, KY 42001-8929
(270) 557-2121
Mailing address
140 KEN LN, PADUCAH, KY 42003-8803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009014
KY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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