Tracy L Keller, PT | |
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
(218) 846-2000 | |
Not Available |
Full Name | Tracy L Keller |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629015300 | NPI | - | NPPES |
54087 | Medicaid | ND | |
DA9011015523 | Other | ND | PREFERRED ONE # |
HP53308 | Other | ND | HEALTHPARTNERS # |
26770 | Other | ND | NDBS # |
6406051 | Other | ND | MEDICA # |
037H4LU | Other | ND | MNBS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1141 (North Dakota) | Secondary |
225100000X | Physical Therapist | 7331 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tracy L Keller, PT Po Box 2010, Fargo, ND 58122-2484 Ph: (701) 234-2000 | Tracy L Keller, PT 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
Nicole Mazour, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Kelsey Wilberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Monica Kemper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Beth Sternhagen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Leah R Pettit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Patricia Marie Stalberger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501 Phone: 218-844-7119 | |
Heather A Kiebke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 |