Individual
JASON THOMAS KEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3561 JOHNSON MILL BLVD STE 201, FAYETTEVILLE, AR 72704-5026
(479) 404-4530
(479) 404-4526
Mailing address
3561 JOHNSON MILL BLVD STE 201, FAYETTEVILLE, AR 72704-5026
(479) 404-4530
(479) 404-4526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4410
AR
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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