Individual
MR. RONALD G KELDERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
OFF HWY 191 & HOSPITAL DRIVE, CHINLE, AZ 86503
(928) 674-7030
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7030
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 29453
CA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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