| NPI | 1699055087 |
|---|---|
| Other Name | KRISTY RAE KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05010637A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT-071970) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |