Individual
KEENAN CLOVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
E.12707 MASFIELD AVE APT# B301, SPOKANE VALLEY, WA 99216
(409) 499-2240
Mailing address
E.12707 MASFIELD AVE APT# B301, SPOKANE VALLEY, WA 99216
(409) 499-2240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60234082
WA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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