Individual
BETSY JO KEITHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 CLUB VILLAGE DR STE 103, COLUMBIA, MO 65203-4411
(573) 581-7732
Mailing address
13200 LIV 218, CHILLICOTHE, MO 64601-3904
(660) 707-2836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110436
MO
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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