| Doctor Name: | CARL JOSEPH KELLER |
| NPI Number: | 1871902379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 9696 |
| Business Practice Address: | 1451 Highway 2 Two Harbors, MN - 556164049 |
| Business Phone Number: | 2188342586 |
| Business Fax Number: | |
| Mailing Address: | 1417 E 1st St Apt 2, DULUTH |
| State: | MN |
| Postal Code: | 558052409 |
| Phone Number: | 2183101448 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2014 |
| NPI Last Update Date: | 08/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 9696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |