Individual
SUSAN L KELTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1566 N RAINBOW AVE, SPRINGFIELD, MO 65803-5632
(417) 862-8528
Mailing address
1566 N RAINBOW AVE, SPRINGFIELD, MO 65803-5632
(417) 862-8528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
115259
MO
Other
Enumeration date
01/31/2007
Last updated
07/09/2007
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