Kristin Renae Keithley PT

NPI 1114134350 - Physical Therapist - 225100000X

NPI Details
NPI 1114134350
Gender Female
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
550 WHITE RD
CHESTERFIELD MO, 63017-2316, US
Phone (314) 628-6101
Fax
Business Location
239 TYNDALE DR
O FALLON MO, 63366-7553, US
Phone (636) 294-3439
Fax
Toxanomy
Taxonomy Code 225100000X
License State Missouri
License Number 2004011775
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According to our database, Mrs. Kristin Renae Keithley PT NPI is 1114134350, taxonomy code is 225100000X and license number is 2004011775, license state is located at Missouri. Kristin Renae Keithley PT physically located at 550 White Rd, Chesterfield MO, 63017-2316. NPI Number Kristin Renae Keithley PT has the Individual type.

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1114134350 NPI number is provided on an as is basis without warranty of any kind. 1114134350 is maintained by the National Plan & Provider Enumeration System. The contents of Kristin Renae Keithley PT are for informational purposes only.