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Autumn Keller, ATC, LAT

NPI 1932616125 · on the registry since 2018

Practice

Address
111 Riley Cir
Dawsonville, GA 30534
Phone
(770) 530-1754

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia