Individual
KELLY KEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 MAXWELL DR STE 7, HUDSON, WI 54016-8759
(844) 328-5866
Mailing address
1880 TWIN CIRCLE DR, MENDOTA HEIGHTS, MN 55118-4144
(651) 442-4849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14569-24
WI
225100000X
Physical Therapist
4565
MN
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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