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Individual
KEELY FITCH
Active
Individual
KEELY FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501304033
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
08/28/2025
Last updated
08/28/2025
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