Individual
JASON GRANT KEESEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2196 VETERANS PKWY, CLAYTON, NC 27520-8343
(919) 763-1050
(919) 969-9131
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 763-1050
(919) 969-9131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214978
VA
225100000X
Physical Therapist
CP043121T
NC
225100000X
Physical Therapist
Primary
P24377
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305214978
STATE LICENSE
VA
01
—
P24377
LICENSE
NC
Enumeration date
06/23/2022
Last updated
11/24/2025
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