Individual
JERALD KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2112 S TYLER ST, TACOMA, WA 98405-1000
(253) 571-7444
Mailing address
PO BOX 1357, TACOMA, WA 98401-1357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007045
WA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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