Individual
JUSTIN LLOYD KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
641 41ST AVE S, MOORHEAD, MN 56560-6715
(701) 205-7848
Mailing address
2505 8TH ST S, MOORHEAD, MN 56560-4202
(219) 233-3690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4972
MN
225100000X
Physical Therapist
6394
MN
Other
Enumeration date
05/16/2022
Last updated
06/16/2022
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