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NPI Code Detail

MEDICARE: NATHAN KELLER

MEDICARE: NATHAN KELLER
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 TherapistTX

General Provider Information

NPI Number : 1770414435
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN KELLER
Provider Business Mailing Address
First Line : 2503 SHELL AVE
Second Line :
City : MIDLAND
State : TX
Zip : 79705-8421
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3003 N A ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-5304
Country : US
Telephone Number : 432-684-7755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ NATHAN KELLER ” Practice Location

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