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NPI Code Detail

MEDICARE: MS. KELLY SUE KUETHER P.T.

MEDICARE:  MS. KELLY SUE KUETHER  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT008895OH

General Provider Information

NPI Number : 1316141062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KELLY SUE KUETHER P.T.
Provider Business Mailing Address
First Line : 1100 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-3529
Country : US
Telephone Number : 419-999-9201
Fax Number : 419-999-6284
Provider Business Practice Location Address
First Line : 1100 SHAWNEE RD
Second Line :
City : LIMA
State : OH
Zip : 45805-3529
Country : US
Telephone Number : 419-999-9201
Fax Number : 419-999-6284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 05/10/2022

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Directions to “ MS. KELLY SUE KUETHER P.T.” Practice Location

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