Individual
TYSON MATTHEW KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14 W GRAVES RD STE 104, SPOKANE, WA 99218-2319
(509) 465-2139
Mailing address
2414 W DALTON AVE, SPOKANE, WA 99205-2426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161320004
WA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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