Individual ProviderMichelle Lea KellerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6000PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Lea Keller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609040765Provider TypeIndividualFull NameKeller, Michelle LeaGenderFemaleSole ProprietorNoEnumeration Date4/18/2008Last Updated4/18/2008Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6000FaxUnlisted FaxMailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2333Nebraska