Individual
MADISYN ELIZABETH KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4526
Mailing address
1413 W 43RD ST, HAYS, KS 67601-1414
(785) 259-5940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65917
OR
Other
Enumeration date
01/21/2025
Last updated
11/13/2025
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