Individual
MR. CLAYTON KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1615 PARKER AVE, OSAWATOMIE, KS 66064-1703
(913) 755-4165
Mailing address
12528 S ACUFF CT, OLATHE, KS 66062-5984
(785) 393-3673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02341
KS
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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