Individual
MR. THOMAS KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
21 SAINT JOSEPH ST, RAPID CITY, SD 57701
(605) 394-1813
(605) 394-6766
Mailing address
300 6TH ST, RAPID CITY, SD 57701-5034
(605) 394-1813
(605) 394-6766
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0598
SD
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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