Individual provider · Type 1 NPI

Kent Keller, PTA

Physical Therapy Assistant · Medina, OH

NPI number 1174884597 Active

Practice location

727 E Reagan Pkwy Apt 215
Medina, OH 44256-1246

Mailing address

727 E. Reagan Parkway, Apt 215
Medina, OH 44256

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA01677 (OH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1174884597

Kent Keller, PTA's National Provider Identifier is 1174884597, issued on Jun 1, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Medina, OH. The record was last updated on Jun 1, 2012.