Individual
DR. RAQUEL KEITHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T. D.P.T P.C.S
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 791-2863
Mailing address
201 SUNSET MEADOWS CT, GRAY, TN 37615-4298
(422) 237-9128
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
070.006123
IL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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