Individual
KEITH JOHN PICHT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1004 PROGRESS DR STE 100, LANSING, KS 66043-6323
(913) 351-3586
(913) 351-3939
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(232) 387-2174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03959
KS
Other
Enumeration date
04/06/2022
Last updated
03/21/2023
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