Individual
KEITH E DEYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT,ATC,CSCS
Contact information
Practice address
20 GERMANTOWN RD, DANBURY, CT 06810-5023
(203) 778-4773
Mailing address
20 MIDWAY DR, BETHEL, CT 06801-2230
(203) 791-1976
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000254
CT
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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