COREEN WISTISEN KELLER

TWIN FALLS, ID
NPI1780839431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-1441)
Enumeration Date2008-11-21
Last Update Date2008-11-21
Business Address
Mrs. COREEN WISTISEN KELLER MPT
560 SHOUP AVE W
TWIN FALLS, ID 83301-5029
Phone number: 208-737-2126
Mailing Address
Mrs. COREEN WISTISEN KELLER MPT
2168 HILLCREST DR
TWIN FALLS, ID 83301-5364
Phone number: 208-734-9353
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