# DR. RAQUEL KEITHLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114375797
- **Gender:** F
- **Credential:** P.T. D.P.T P.C.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 070.006123 | IL | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 05/24/2016