Individual
KENNETH LUKE KEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6025 LEE HWY STE 445, CHATTANOOGA, TN 37421-2966
(423) 499-4043
(423) 499-4045
Mailing address
6025 LEE HWY STE 445, CHATTANOOGA, TN 37421-2966
(423) 499-4043
(423) 499-4045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9099
GA
225100000X
Physical Therapist
Primary
PT0000007556
TN
Other
Enumeration date
05/11/2007
Last updated
02/25/2019
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