Most Relevant Information
Provider Data
| NPI Number: | 1003541491 |
| Provider Name: | NATHANIEL ALAN KELLER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 12841786 |
Most Important Dates
| Enumeration Date: | 07/19/2022 |
| Last Updated: | 07/19/2022 |
Provider Practice Location
5121 S COTTONWOOD ST
MURRAY
UT
841075701
Practice Location Phone/Fax
| Phone: | 8057982901 |
| Fax: |
Provider Mailing Location
1063 S 1450 E
SPANISH FORK
UT
846608498
Provider Mailing Phone/Fax
| Phone: | 8057982901 |
| Fax: |