Individual
JEFFREY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1807 W BROADWAY BLVD, SEDALIA, MO 65301-2501
(660) 826-2015
Mailing address
1807 W BROADWAY BLVD, SEDALIA, MO 65301-2501
(660) 826-2015
(660) 826-8848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05357
KS
225100000X
Physical Therapist
Primary
2016022085
MO
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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