Individual
MR. KEITH MICHAEL REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1818 S UNION AVE STE 1B, TACOMA, WA 98405-1953
(253) 627-7012
(253) 627-7014
Mailing address
1818 S UNION AVE STE 1B, TACOMA, WA 98405-1953
(253) 627-7012
(253) 627-7014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WA8422
WA
Other
Enumeration date
04/26/2006
Last updated
08/06/2022
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