Individual
CASEY KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, AT, ATC
Contact information
Practice address
656 FOREST LAKE LN, EAST JORDAN, MI 49727-8672
(231) 676-7639
Mailing address
PO BOX 715, EAST JORDAN, MI 49727-0715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/05/2017
Last updated
10/27/2023
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