DEREK KELTON

SPRINGFIELD, IL
NPI1386138444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070028643)
Additional Taxonomies225100000X Physical Therapist
Enumeration Date2018-06-21
Last Update Date2024-11-07
Business Address
DEREK KELTON
2325 W MONROE ST
SPRINGFIELD, IL 62704-1452
Phone number: 217-547-2497
Mailing Address
DEREK KELTON
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number:
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