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NPI Code Detail

MEDICARE: MR. KEITH ALLAN SCHELLER OTR

MEDICARE: MR. KEITH ALLAN SCHELLER OTR
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
1225XH1200XHand Occupational Therapist31003305AIN

General Provider Information

NPI Number : 1821122284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KEITH ALLAN SCHELLER OTR
Provider Business Mailing Address
First Line : 3736 EVERGREEN AVE
Second Line :
City : EVANSVILLE
State : IN
Zip : 47711-2885
Country : US
Telephone Number : 812-401-2638
Fax Number :
Provider Business Practice Location Address
First Line : 4000 TULIP TREE DR
Second Line :
City : PRINCETON
State : IN
Zip : 47670-2300
Country : US
Telephone Number : 812-387-2922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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