| Jennifer A Keller, | |
|
800 S Main Ave, Rugby, ND 58368-2118 | |
| (701) 776-5455 | |
| (701) 776-7015 |
| Full Name | Jennifer A Keller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 800 S Main Ave, Rugby, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497248264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1999 (North Dakota) | Primary |
| Provider Name | Good Samaritan Hospital Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588751325 PECOS PAC ID: 6002716701 Enrollment ID: O20040225000266 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Keller, 800 S Main Ave, Rugby, ND 58368-2118 Ph: (107) 776-5455 | Jennifer A Keller, 800 S Main Ave, Rugby, ND 58368-2118 Ph: (701) 776-5455 |
Rebecca Anne Kraft, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2975 Highway 2e, Rugby, ND 58368 Phone: 701-776-5261 Fax: 701-776-5448 | |
Mrs. Kayla K Johnson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2975 Highway 2 E, Rugby, ND 58368 Phone: 701-776-5261 Fax: 701-776-5448 | |
Shea Heidlebaugh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Main Ave, Rugby, ND 58368 Phone: 701-776-5455 | |
Katie Brossart, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2975 Highway 2 E, Rugby, ND 58368 Phone: 701-776-5455 | |
Jordan Backstrom, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 Highway 2 Sw Stuite 103, Rugby, ND 58368 Phone: 701-351-0775 | |
Kayla Hamilton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 S Main Ave, Rugby, ND 58368 Phone: 701-776-5455 |