Individual
AMANDA JANE KEETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
445 SHAWNEE LN, CHILLICOTHE, OH 45601-4145
(740) 779-7661
Mailing address
PO BOX 141, CLARKSBURG, OH 43115-0141
(740) 656-6582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005353
OH
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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