Individual
NIOMI M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
609 W 8TH ST STE A, LIBBY, MT 59923-1829
(406) 293-8942
Mailing address
25 HERITAGE WAY, KALISPELL, MT 59901-3100
(406) 407-7990
(855) 928-0774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1272
SD
225100000X
Physical Therapist
1302
ND
225100000X
Physical Therapist
Primary
27088
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245203261
NPI
SD
01
—
4995084
WELLMARK BCBS
SD
01
—
54915
ND MEDICAID
ND
05
—
5834650
—
SD
Enumeration date
02/09/2006
Last updated
04/28/2026
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