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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. COREEN WISTISEN KELLER, MPT

Active Sole Proprietor

MRS. COREEN WISTISEN KELLER, MPT is a Physical Therapy Assistant healthcare provider located in TWIN FALLS, Idaho. NPI 1780839431 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TWIN FALLS, ID

Registration Details

NPI Number
1780839431
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2008 (17.712336062036 yrs)
Last Updated
Nov 21, 2008
License
PT-1441 (ID)
Sole Proprietor
Yes

Practice Information

Address
560 SHOUP AVE W
TWIN FALLS, ID, 833015029
Browse ID providers · Browse ZIP 83301
Phone
2087372126
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TWIN FALLS, ID

Name Credential NPI
MRS. JULIE ANN SCHWERMAN PT 1851350938
M ANDREW MIX RPT 1346205937
BRADLEY C WILLIAMS PT 1841255015
BRYAN D WRIGHT DPT 1265525315
MRS. TRACY ERVIN PT 1376623363
JULIE A ELLIS PT 1205999281
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.