Kent Keller, PTA

NPI #1174884597 in Medina, Ohio

Provider Information

NPI Number: 1174884597
Entity Type: Individual
Name: Kent Keller, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 1, 2012
Last Updated: Jun 1, 2012

Practice Location

Address: 727 E REAGAN PKWY APT 215
City: Medina
State: Ohio
ZIP Code: 44256-1246
Phone: (330) 690-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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