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Michelle Lea Keller

Physical Therapist in Bismarck, ND. Individual provider (NPI-1).

NPI number1609040765
StatusActive
Last updated in NPPESApr 18, 2008

Details

NPI
1609040765
Entity type
Individual (NPI-1)
Name
Michelle Lea Keller
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2008
Last updated
Apr 18, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2333NEYes

Practice location

300 N 7th St
Bismarck, ND 58501-4439

Phone 701-323-6000

Mailing address

300 N 7th St
Bismarck, ND 58501-4439

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