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Individual

DR. C BRADEN KEIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
130 MARVIN RD SE, STE 203, LACEY, WA 98503-6100
(360) 456-3300
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
9939
AZ
225100000X
Physical Therapist
PT023136
PA
225100000X
Physical Therapist
Primary
PT60547054
WA

Other

Enumeration date
09/11/2013
Last updated
11/13/2015
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