Individual
BRENDA LEA KELLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13110 BIRCH DR, STE 164, OMAHA, NE 68164-4160
(402) 496-4666
Mailing address
6438 S 164TH AVE, OMAHA, NE 68135-6340
(402) 496-4666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2209
NE
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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