Individual
MICHELLE KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(414) 258-6170
Mailing address
2218 N SUMMIT AVE APT 304, MILWAUKEE, WI 53202-1230
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
13474-24
WI
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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