Individual
LORI KEATHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3196 S DEAD HORSE MOUNTAIN RD, FAYETTEVILLE, AR 72701-9142
(479) 841-1048
Mailing address
3196 S DEAD HORSE MOUNTAIN RD, FAYETTEVILLE, AR 72701-9142
(479) 841-1048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
LPTA 1380
AR
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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