Individual
KEITH HARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3950 17TH ST STE B, BAKER CITY, OR 97814-1300
(541) 523-8888
Mailing address
3950 17TH ST STE B, BAKER CITY, OR 97814-1300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64897
OR
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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