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Individual
BRAD D KEISLING
Active
Individual
BRAD D KEISLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT,CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00221129
RAILROAD PROVIDER NUMBER
SC
01
—
P00415441
RAILROAD MEDICARE
SC
Enumeration date
07/03/2006
Last updated
02/13/2022
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