Individual
MADYSEN LYNN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
710 PARK CENTER DR, MATTHEWS, NC 28105-5081
(704) 323-3200
Mailing address
710 PARK CENTER DR, MATTHEWS, NC 28105-5081
(704) 323-3200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8553
NC
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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