Individual
MRS. KRISTINA RAE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16281 ESHER CT, WESTFIELD, IN 46074-5871
(419) 796-9695
Mailing address
16281 ESHER CT, WESTFIELD, IN 46074-5871
(419) 796-9695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010637A
IN
225100000X
Physical Therapist
PT-071970
OH
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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