Individual
MRS. AMY J KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(812) 334-7604
(812) 334-7705
Mailing address
8279 S STONE RIDGE RD, BLOOMINGTON, IN 47401-9037
(812) 824-4808
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001615A
IN
Other
Enumeration date
11/27/2011
Last updated
11/27/2011
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