MARK KELLER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008250

License Status

ACTIVE

Business

First Name

MARK

Last Name

KELLER

Business Name

MARK KELLER

Original Issue Date

08/20/2018

Effective Date

08/27/2025

Expiration Date

09/30/2027

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

08/27/2025