Individual
CHRISTOPHER KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 W STATE ST, ITHACA, NY 14850-5431
(830) 220-3312
Mailing address
301 W STATE ST, ITHACA, NY 14850-5431
(830) 220-3312
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
026003
NY
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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