Individual
KEEBYN TASHA PISTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
411 W ROAD 1 N, STE A, CHINO VALLEY, AZ 86323-5943
(928) 636-8521
Mailing address
411 W ROAD 1 N, STE A, CHINO VALLEY, AZ 86323-5943
(928) 636-8521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9873
NC
Other
Enumeration date
07/08/2006
Last updated
07/29/2008
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