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1972823367
KEITH ELLIS
CHESTERTON, IN
NPI
1972823367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05010042A)
Enumeration Date
2010-06-08
Last Update Date
2021-11-26
Business Address
KEITH ELLIS PT
502 E 1100 N
CHESTERTON, IN 46304
Phone number: 219-926-5850
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Mailing Address
KEITH ELLIS PT
502 E 1100 N
CHESTERTON, IN 46304-9697
Phone number: 219-926-5850
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