Individual
THEODORE JOHN KEPROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
108 1ST ST SE, MOUNT VERNON, IA 52314-1465
(319) 895-4085
(319) 895-8013
Mailing address
108 1ST ST SE, MOUNT VERNON, IA 52314-1465
(319) 895-4085
(319) 895-8013
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
02336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665430
—
IA
Enumeration date
09/14/2006
Last updated
09/03/2013
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