LUCAS KELLER

MERIDIAN, ID
NPI1588230429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist Pediatrics
(Licence: ID  PT-7368)
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
LUCAS KELLER
3080 E GENTRY WAY STE 180
MERIDIAN, ID 83642-3014
Phone number: 208-939-3334
Mailing Address
LUCAS KELLER
17850 28TH ST NW
BALDWIN, ND 58521-9773
Phone number: 701-471-6016
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