| Mary Keller, DPT | |
|
2190 New Holt Rd Ste D, Paducah, KY 42001-8929 | |
| (270) 557-2121 | |
| Not Available |
| Full Name | Mary Keller |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2190 New Holt Rd Ste D, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235993635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT009014 (Kentucky) | Primary |
| Provider Name | Renewed Performance, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821681792 PECOS PAC ID: 7012325277 Enrollment ID: O20210428000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Keller, DPT 140 Ken Ln, Paducah, KY 42003-8803 Ph: () - | Mary Keller, DPT 2190 New Holt Rd Ste D, Paducah, KY 42001-8929 Ph: (270) 557-2121 |
Weston Gerard Jones, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 Kiana Ct, Paducah, KY 42001 Phone: 270-534-1200 Fax: 270-365-9377 | |
Penelope Diane Cockrel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4102 Minnich Ave, Paducah, KY 42001 Phone: 270-556-8886 | |
Hampton Physical Therapy,psc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 B Village Square Dr., Paducah, KY 42001 Phone: 270-443-0681 Fax: 270-442-7948 | |
Mary Jo Campbell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2855 Jackson St, Paducah, KY 42003 Phone: 270-415-3610 Fax: 270-415-3601 | |
Daniel Nisbet, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Clint Hill Blvd, Paducah, KY 42001 Phone: 270-442-9461 Fax: 270-450-7085 | |
Lucas Morgan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Kiana Court Suite A, Paducah, KY 42001 Phone: 270-443-0681 Fax: 270-442-7948 | |
Mrs. Adrianna Lyles Troutman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Clint Hill Blvd, Paducah, KY 42001 Phone: 270-442-9461 Fax: 270-441-0079 |