Physical Therapist, Pediatrics
LUCAS KELLER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1588230429 · enumerated 2021-06-01 · record updated 2021-06-01. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 3080 E GENTRY WAY STE 180, MERIDIAN, ID, 83642-3014 (208) 939-3334 Google Maps Apple Maps OpenStreetMap
- Mailing address 17850 28TH ST NW, BALDWIN, ND, 58521-9773 (701) 471-6016 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist, Pediatrics 2251P0200X · Primary · License PT-7368 ID
In this directory
Locations and evidence
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Practice location
MERIDIAN, ID, 836423014
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.