Individual
MRS. KEELY A ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
31 CHOCTAW CENTER, CHEROKEE VILLAGE, AR 72529-2702
(870) 856-4325
(870) 856-4327
Mailing address
PO BOX 398, HARDY, AR 72542-0398
(870) 847-3777
(870) 856-4327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2418
AR
225100000X
Physical Therapist
PT2418
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142606721
—
AR
01
—
5X070
ARKANSAS BLUE CROSS
AR
Enumeration date
10/12/2005
Last updated
02/14/2019
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