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Sarah C Keller

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

900 E Broadway Ave, Bismarck, ND 58501-4520

PECOS Enrollment

Based on the most recent information from CMS, provider Sarah C Keller does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1043568611
Provider Type
Individual
Full Name
Keller, Sarah C
Credential
PT,DPT

Gender
Female
Sole Proprietor
No
Enumeration Date
8/29/2012
Last Updated
8/29/2012

Contact Information

Practice Location

900 E Broadway Ave, Bismarck, ND 58501-4520

(701) 530-8200

Unlisted Fax

Mailing Location

900 E Broadway Ave, Bismarck, ND 58501-4520

(701) 530-8200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 1687 North Dakota
Code 2251P0200X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 1687 North Dakota

Provider Identifiers

ID	Description	Issuer
ID 1687	Description Other	Issuer LICENSE North Dakota

Sarah C Keller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Christensen, Samantha

Olander, Kristi

Ibach, Michael Kenneth

Hieb, Katie

Schanandore, Amy

Sims, Ryan J

Keller, Michelle Lea

Clements, Kari Nicole

Welk, Jeffrey David

Allen, Donald Leroy