Individual
KEYLEE JAMES SIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1029 E WASHINGTON AVE, MCALESTER, OK 74501-4849
(918) 423-2200
Mailing address
600 S 5TH ST, EUFAULA, OK 74432-3619
(918) 617-4850
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
3357
OK
225200000X
Physical Therapy Assistant
Primary
3357
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114511078
UMR
—
01
—
3357
NA
OK
Enumeration date
02/22/2021
Last updated
03/07/2023
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