| Doctor Name: | DR. KELI NICOLE ST. CLAIR |
| NPI Number: | 1215038971 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 11340 |
| Business Practice Address: | 4622 40th Ave S Fargo, ND - 581044394 |
| Business Phone Number: | 7012937294 |
| Business Fax Number: | 7012829738 |
| Mailing Address: | 5001 Amber Valley Pkwy S Apt 208, FARGO |
| State: | ND |
| Postal Code: | 581048684 |
| Phone Number: | 7017396326 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 11/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11340 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |