Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELI J. DHOM, PT
Active Sole ProprietorKELI J. DHOM, PT is a Physical Therapy Assistant healthcare provider located in DIETERICH, Illinois. NPI 1528134608 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DIETERICH, IL
Registration Details
- NPI Number
- 1528134608
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2006 (19.723722300459 yrs)
- Last Updated
- Oct 29, 2020
- License
-
70015440 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19460 E 1150TH AVEDIETERICH, IL, 624242150Browse IL providers · Browse ZIP 62424
- Phone
- 2178210542
- Fax
- 2179255356
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.